The presence of lobulated borders, T2 dark areas, necrosis, hyperintensity relative to the myometrium after contrast administration, central necrosis, presence of high signal on b1000 DWI, ADC value lower than 0.82 × 10<sup>-3</sup> mm<sup>2</sup>/s and type 3 enhancing curve on DCE can help distinguish between leiomyoma and leiomyosarcoma.