Echo coarsening and enhancement of the myometrium is usually seen in myometrial lesions, and it needs to be combined with other clinical examinations to make a diagnosis. Myometrial echogenic thickening and enhancement is an imaging finding, which is usually diagnosed by ultrasonography, MRI, CT, etc. This finding suggests the presence of fibrous thickening of the myometrial tissue pattern, with a peripheral border. This finding suggests that the myometrium may be diseased due to the presence of fibrous thickening, unclear borders, and roughness of the myometrium. Clinical diseases that may cause this condition include fibroids, adenomyosis, etc., which need to be diagnosed in conjunction with the results of other tests.