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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Diffusion tensor imaging on 3-T MRI breast: diagnostic performance in comparison to diffusion-weighted imaging

Fig. 6

45-year-old female with history of left breast cancer managed by lumpectomy on follow-up. Mammogram showed focal asymmetry at left UIQ and ultrasound revealed dilated ducts with thickened irregular wall. CE-MRI breast (a) axial T1 (to the left) and axial STIR (to the right) showed dilated ducts at left UIQ (white arrows). b Axial contrast T1 fat saturation showed suspicious looking clumped non-mass enhancement of segmental distribution at left UIQ with no detected mass lesion. c Type I curve of dynamic enhancement. d DWI showed no restricted diffusion (ADC = 2 × 10−3 mm2/s). e FA map, FA = 0.28 (> 0.2) matching with malignancy. Final MRI diagnosis was suspicious non-mass enhancement (BIRADS 4c) for biopsy. f FNC (to the left) showed groups of malignant pleomorphic ductal cells (arrows) and a core biopsy (to the right) showed malignant glands infiltrating the stroma (arrows) (H&E × 100). Final diagnosis was recurrent IDC

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