Fig. 1
From: Can DWI-MRI be an alternative to DCE-MRI in the diagnosis of troublesome breast lesions?
A 38-year-old female patient with positive family history presented with left breast lump. Mammography (A) showed left breast deeply seated dense mass lesion and ultrasound (B) showed left UIQ well-circumscribed hypoechoic complicated cystic lesion with posterior enhancement. Sonomammography revealed BIRADS 3. Dynamic MRI axial images showing upper inner quadrant rounded well-defined mass lesion displaying low T1 (C) and intermediate T2 signal intensity (D). MRI axial dynamic THRIVE sequence and subtraction image (E) showed left UIQ homogenously enhanced well-defined mass. Time/signal intensity analysis (F) of ROI showed wash out curve pattern (type III) with SI% of 103%. Diffusion sequence b 850 (G) and post-processing ADC map (H) showed restricted diffusion. ADC value for ROI was 0.9 × 10−3mm2/s. Both the DCE-MRI and DWI-MRI revealed BIRADS 4 and suspicious findings. Pathology revealed mucinous adenocarcinoma