Fig. 5

Female patient 54 years old, she was presented with right breast mass. On ultrasound (a), there was a complex well-defined cystic lesion with soft tissue component at 12 o’clock (arrow), which shows flow on the color Doppler study. On CESM (b, c), the lesion shows intense enhancement of the solid component (arrows) with enlarged right axillary LNS (asterisk). A small enhancing satellite lesion is seen anterior to the lesion (short arrow). On MRI with IV contrast (e, f), the lesion appears complex cystic with enhanced large soft tissue component of dynamic curve type II and III (arrows). The satellite lesion is seen anterior and medial to the lesion (small arrow) with thickening enhancing overlying skin and enlarged pathological rounded axillary LNS (asterisk). A biopsy was done and histopathologically proven as intraductal papillary carcinoma