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Figure 4b. Adenomyosis in a 47-year-old woman with menorrhagia and pelvic pain. (a) Sagittal transvaginal US image demonstrates an enlarged, globular, diffusely heterogeneous uterus (cursors), a finding that is consistent with adenomyosis. (b, c) Axial T1-weighted (b) and T2-weighted (c) MR images show multiple punctate foci of high signal intensity within the myometrium (arrow), findings that are also consistent with adenomyosis.
