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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

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

Fig. 7

A 37-year-old female patient presented with right breast lump. a Magnified mammographic image for the pleomorphic microcalcifications at UOQ of the right breast. b and c CESM CC and MLO views of the right breast show UOQ diffuse non-mass heterogeneous intense enhancement (white arrowheads) (BIRADS 5). d and e CESM CC and MLO views of the left breast show UOQ (black circles) regional non-mass moderate nodular parenchymal enhancement (BIRADS 3). f and g DWI and ADC cuts show right breast is nearly totally occupied by a diffuse infiltrative mass lesion (white arrows) eliciting restricted diffusion with corresponding mean ADC value of 0.9 × 10-3 s/mm2 (BIRADS 5). h and i DWI and ADC cuts of the left breast also show UOQ (white circle) similar mass with mean ADC value of 1.2 × 10-3 s/mm2 (BIRADS 4). Tru-cut biopsies revealed right breast invasive lobular carcinoma grade II and left breast fibroadenosis, no malignancy which matched the CESM findings

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