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Postmenopausal a thickness of more than 5 mm is considered abnormal The appearance can be non-specific and cannot reliably allow differentiation between hyperplasia and carcinoma . Usually, there is a homogeneous smooth increase in endometrial thickness, but endometrial hyperplasia may also cause asymmetric/focal thickening with surface irregularity, an appearance that is suspicious for carcinoma. Cystic changes can also be seen in endometrial hyperplasia. Ultrasound features that are suggestive of endometrial carcinoma as opposed to hyperplasia include heterogeneous and irregular endometrial thickening . Cystic endometrium appears to be a powerful predictor of endometrial pathology. The high rate of endometrial hyperplasia in premenopausal women with cystic endometrium would advocate the need to obtain histologic diagnoses.