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This photomicrograph shows the center of the adrenalgland with acentral adrenomedullaryvein in the middle.The wall ofthe veinhas a highly irregular appearance, containing several prominent smoothmuscle (SM) projections (alsocalled muscle cushions) into the lumen.Theseprojections representlongitudinal bundles ofsmooth musclesofthe tunicamedia. This photomicrograph shows across-section ofthe coronary artery in a less advanced stage oftheatherosclerotic disease.