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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 1 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 1

From: The added advantage of automated breast ultrasound to mammographically detected different breast lesions in patients with dense breasts

Fig. 1

A 53-year-old patient presenting with left breast lump. a, b Mammography revealed ACR D breast with UOQ irregular high density-speculated mass lesion. Mammography, MLO, and CC views of ACRD revealed suspicious left breast lesion (red arrow); however, proper assessment of the lesion could not be done for further imaging (BIRADS IV). c HHUS images. HHUS show irregular speculated hypoechoic mass lesion (BIRADS IV). d, e, f, g ABUS images. Small satellite lesion was detected by ABUS and missed by HHUS, upstaging the disease to multifocal breast cancer. Transverse view of left breast at AP position showing irregular micro lobulated hypoechoic lesion. (BIRADS IV) at 1:30 clock. Coronal view of the left breast in lateral position showing retraction phenomenon at the site of the lesion. Irregular lesion of mixed echogenicity at 3 o’clock likely representing satellite. Coronal view of the left breast in AP position showing retraction phenomenon at the site of the satellite lesions. Biopsy revealed invasive duct carcinoma, grade 2

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