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In patients with huge leiomyoma and with adenomyosis of the uterus, a peculiar area of hypointensity was occasionally observed on postcontrast magnetic resonance (MR) imaging in the dorsal portion of the enlarged uterus near the sacral promontory. We describe the imaging characteristics of these MR findings and correlate them with histopathological findings to examine whether the areas represent specific pathological changes.

Hypointensity on Postcontrast MR Imaging from Compression of the Sacral Promontory in Enlarged Uterus with Huge Leiomyoma and Adenomyosis