Fig. 3
From: Added value of contrast-enhanced spectral mammography in symptomatic patients with dense breasts
A 44-year-old female patient presented with left breast lump of 5 months duration, FFDM of both breasts in CC (a, b) and MLO (c, d) showed heterogeneously dense breast (ACR C) with left lower inner quadrant (LIQ) mass (arrowed in b and d) showing partially obscured margin. CESM of both breasts in CC (e, f) and MLO (g, h) revealed multiple intensely heterogeneously enhancing masses (circled in f and h) occupying the whole LIQ; these masses were not obvious on FFDM, the left breast was categorized as BIRADS 5 (multifocal malignancy) while the right breast was categorized as BIRADS 1, and biopsy results from the left LIQ masses revealed invasive ductal carcinoma (IDC)