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Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

From: The additive role of dynamic contrast-enhanced and diffusion-weighted MR imaging in preoperative staging of breast cancer

Fig. 7

A case with right breast multicentic malignant lesions, received neoadjuvant chemotherapy with pathologically proven completely burnt out tumor (complete pathological response). a Post-neoadjuvant chemotherapy mammography revealed UIQ architectural distortion. b Ultrasound showed multiple masses seen extending from right 11 to 2 o’clock position of ill-defined outline and distortion located at 1 o’clock. c Right indeterminate axillary LN with increased cortical thickness was also seen. d DCE-MRI showed no sizable gross enhancing masses, yet a pathologically enlarged right axillary lymph node with prominent cortex was noted. e Showing restricted diffusion on the DWI-MRI. In this case, the findings of DCE-MRI and DWI-MRI were correlating with the pathological specimen results regarding the tumor and axillary LNs, while SM gave a false positive result of the mass lesion

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