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Fig. 3. —Recurrent endometrial stromal sarcoma in 24-year-old woman. On axial T2-weighted MR image (TR/TE, 4000/105; echo train, 8), pelvic recurrence (curved arrow) is seen adjacent to left iliac vessels. This shows similar T2-weighted MR imaging features as leiomyosarcomas. Strands of tumor extended posteriorly (not seen on image) into confluent presacral mass (straight black arrow), infiltrating sacral neural foraminae and sacral canal (white arrow).