Fig. 4

Female patient 71 years old. She was presented with left breast mass. On mammography (a), slight irregular lesion is seen at 12 o’clock (arrow). On ultrasound (b), the lesion appears as a fairly defined hypoechoic lesion with a tongue-like projections (arrows). On CESM (c, d), it appears irregular with moderate enhancement (long arrow) and with enhancing axillary LNS (asterisk) on MLO view. A small enhancing nodule is seen deep to the lesion on CC view (small arrow on c), but it was not seen on MLO view. On MRI, the lesion is irregular, enhancing (long arrow) with enhancement curve type III and with a ductal linear enhancement extending posteriorly to small enhancing satellite lesion (small arrow). An enlarged pathological rounded axillary LNS (asterisk). A biopsy was done and histopathologically proven as invasive ductal carcinoma with DCIS