Figure 1.

Coexistence of adenomyosis and a fibroid in a 54-year-old woman, presenting for pre-embolization evaluation. On initial ultrasonography (US), the patient was reported to have a large intramural fibroid in the anterior wall of the uterine body. Sagittal T2-weighted image shows thickening of the anterior junctional zone consistent with focal adenomyosis (Ad). A small intramural fibroid (F) is seen at the uterine fundus. The US features of adenomyosis and uterine fibroids overlap and can lead to incorrect diagnosis, as in this case.