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Figure 17d. Focal adenomyosis associated with a fibroid. (a, b) Gray-scale (a) and color Doppler (b) images show an echogenic, poorly defined mass (arrows) with penetrating vessels. (c, d) Gray-scale (c) and color Doppler (d) images show a hypoechoic well-defined mass (arrows) with draping peripheral vessels. (e) Sagittal T2-weighted turbo spin-echo (4900/120) MR image demonstrates both a fibroid (arrow) and adenomyoma (arrowheads).