Endometreal cells show low differentiation in most types of medical imaging. While ultrasound and MRI can detect bigger accumulations of specific types of endometreal cells, endometriosis can cause symptoms well before it becomes visible in medical imaging.
This is one of the reasons diagnosing endometriosis is so challenging: non-specific abdominal pain combined with clear scans and normal bloodwork leave little critearia upon which to form a diagnosis.
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