Adenomyosis is a benign gynecological condition characterized by ectopic endometrial glands and stroma within the myometrium, manifesting clinically with dysmenorrhea, menorrhagia, chronic pelvic pain, and infertility [1]. Affecting approximately 20–35% of women aged 35–50 years, it significantly impairs quality of life [2]. The condition presents a spectrum of MRI findings, ranging from increased junctional zone thickness to focal or diffuse lesions [3]. While hysterectomy provides definitive t…