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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Breast cancer in dense breasts: comparative diagnostic merits of contrast-enhanced mammography and diffusion-weighted breast MRI

Fig. 4

A 31-year-old female patient presented with left breast nipple erosions. a Magnified mammographic image of the left breast shows scattered pleomorphic microcalcifications at the UOQ. b and c CC and MLO views of the left breast show no significant contrast enhancement (BIRADS 4). d and e DWI and ADC cuts show left breast retroareolar (white circle) linear mass lesion reaching the nipple eliciting restricted diffusion with corresponding mean ADC value of 1.1 × 10-3 s/mm2 (BIRADS 5). Tru-cut biopsy of the left breast revealed Paget’s disease of the nipple with associated high-grade DCIS of the major lactiferous duct which matched the DW MRI findings

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