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Fig. 4A —Malignant mixed müllerian tumor in 55-year-old woman. Sagittal T2-weighted fast spin-echo (FSE) (A), sagittal gadolinium-enhanced fat-suppressed T1-weighted (B), and axial oblique T2-weighted FSE (C) images show large heterogeneous mass (T) that contains areas of cystic necrosis. Tumor involves entire depth of myometrium and invades cervical stroma (asterisks in A and B). Note presence of enlarged bilateral obturator lymph nodes (N in C) and associated left-side hydronephrosis (arrow in C).