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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: BIRADS 4 breast lesions: comparison of contrast-enhanced spectral mammography and contrast-enhanced MRI

Fig. 6

Female patient 58 year old presented with right axillary swelling. On ultrasound (a), there was enlarged axillary lymph nodes with the loss of their normal fatty hilum and with a rounded appearance indicating pathological LNS (arrows), no lesion could be seen in breast in ultrasound or mammography. On MRI TIRM sequence (b), an enlarged right axillary LNS were seen (long arrow). On CE-MRI (c), there was evidence of intraductal linear enhancement directed towards the nipple (small arrows). On MIP MRI (d), the enlarged axillary LNS and ductal enhancement was clearly seen (arrows). On CESM (e, f), right axillary LNs was enhancing (arrow) while the ductal enhancement could not be seen. On histopathological correlation it was proven as DCIS with metastatic axillary LNS

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