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Figure 2b. Adenomyosis with hemorrhagic foci in a 52-year-old woman. (a) Sagittal T1-weighted image shows an enlarged uterus with multiple hyperintense foci in the anterior myometrium (arrows), which represent hemorrhage. (b) Sagittal T2-weighted image shows an ill-defined area of low signal intensity in the anterior myometrium. Hyperintense foci (arrows) are embedded in the lesion. (c) Photograph of the cut surface of the gross specimen shows multiple hemorrhagic cysts within a thickened myometrium. (d) Photomicrograph (original magnification, x40; hematoxylin-eosin [H-E] stain) shows an island of ectopic endometrial tissue that contains blood (arrowheads).
