A case of florid endocervical glandular hyperplasia with pyloric gland meta
plasia is described. MR images showed multiple and conjugated cysts in the
uterine cervix, which suggested adenoma malignum. A postoperative examinati
on revealed florid but definitely benign endocervical glandular hyperplasia
. Hitherto described radiologic features considered suggestive of adenoma m
alignum are not necessarily specific and can be a diagnostic pitfall.