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Figure 13a. Adenomyosis with leiomyomas in a 43-year-old woman. (a) Sagittal T2-weighted image shows typical adenomyosis in the anterior myometrium. Leiomyomas are demonstrated as well-circumscribed hypointense masses (arrows). (b) Photograph of the cut surface of the gross specimen shows several leiomyomas with well-defined borders (arrows) in the myometrium.