Fig. 7
57-year-old female presented by right uniparous spontaneous bloody discharge. a Mammogram showed one view asymmetry at outer part of right breast in CC view (white arrow) and partially obscured dense lesion (red arrow). b Ultrasound showed hypoechoic lesion with irregular margins (red arrow) and related dilated duct (white arrow) (BIRADS 5), referred for MRI to assess extent of the lesion. c Axial T1 showed irregular hypo-intense lesion (red arrow). d Axial STIR showed focal linear hyperintense signal (white arrows). e Axial dynamic THRIVE images showed irregular enhancing lesion (red arrow) previously seen in mammogram and ultrasound, associated with related suspicious linear non-mass enhancement matching with the linear focal asymmetry seen in CC view mammogram. (white arrows). f Type III curve of dynamic enhancement. g DWI showed no diffusion restriction, ADC = 1.4 × 10−3 mm2/s. h FA = 0.24 (> 0.2) matching with malignancy. TCNB revealed IDC