Both ultrasound and B-ultrasound can see the location of the fibroids. Ultrasound is generally more common. It can show the size and shape of the uterus; the number, location, size and whether the fibroids are uniform or liquefied cystic lesions within the fibroids. (Of course color ultrasound images are of higher quality and more accurate, and correspondingly more expensive.) Take ultrasound as an example, how can we see the specific situation of fibroids and adenomyoma for reference? What is included in the ultrasound? Generally speaking a complete ultrasound report should include the following: location of the uterus, description of the uterus, size of the uterus; intermuscular condition; description of the blood flow, endometrial condition, ovarian condition, cervical and pelvic condition. Finally, there is the diagnostic opinion of the ultrasound. The normal uterine size is 5.5-7.5 cm long, 4.5-5.5 cm wide, 3.0-4.0 cm thick and 2.5-3.0 cm long cervix. If a woman’s uterus is smaller than normal after puberty, “uterine dysplasia” is suspected. If the uterus has fibroids, adenomyosis, or poor uterine regeneration after childbirth, the uterus may be enlarged. Adenomyoma and adenomyosis are the same disease, and the differences between fibroids and adenomyosis will not be discussed here. There was a post-operative adenomyosis patient who had adenomyosis combined with fibroids, a typical case. The size of the uterus is 88mmx81mmx75mm, this uterus is already significantly larger than the normal uterus volume; “myometrial echogenicity is thickened and enhanced, especially in the posterior wall of the base …… posterior wall is about 53mm thick”, this is a typical description of adenomyosis, affected by The echogenicity of the myometrium in adenomyosis is often heterogeneous, and the lesions are mostly in the posterior wall, which is often thickened and hard in section, with thickened myofibrous bands and microcystic cavities, with old blood in the cavity; “a heterogeneous echogenic mass of about 67mmx45mm with unclear borders is seen in the posterior wall of the fundus”. This is adenomyoma of the uterus. The foci of adenomyoma of the uterus show restricted growth with massive local smooth muscle hyperplasia in the form of myoma-like nodules, with endometrial glands and interstitium seen within the nodules, similar to interstitial myoma, but without the presence of pseudo-envelope and without obvious boundaries with the surrounding muscular layer. The above is a description of the condition of adenomyosis, but the following sentence “Another hypoechoic nodule of about 32mmx24mm in size with clear borders is seen in the myometrium of the left wall. …… The echogenicity is not uniform. intermyometrial fibroid, whose location is between the myometrium of the left wall of the uterus, size 32mmx24mm. Finally, through open surgery, we excavated a lot of focal tissue. Two of them were adenomyoma lesions and many small fragment-like adenomyosis lesions, in addition to uterine fibroids and other ectopic lesions. In conclusion, the surgical findings and the examination report basically matched. Reading the test report and understanding the diagnosis and treatment will help patients to have a more detailed understanding of their condition. However, patients should not use the ultrasound report to make diagnosis and treatment on their own, but need to treat the disease under the guidance of a doctor.