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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: The diagnostic accuracy of diffusion-weighted magnetic resonance imaging and shear wave elastography in comparison to dynamic contrast-enhanced MRI for diagnosing BIRADS 3 and 4 lesions

Fig. 2

A 63-year-old female patient, presenting with left bloody nipple discharge. a US showed prominent left retroareolar ducts with multiple intraductal hypoechoic lesions with peripheral vascularity (BIRADS). b SWE showed that the harded areas represent < 50% of the lesions (score 3) (considered as malignant by qualitative SWE) and that the average measured Emax.= 140 kPa, and Eratio = 5.5 (considered as malignant by quantitative SWE). c Post contrast subtracted CE MRI showed left retro areolar homogenously enhancing foci with a delayed wash ot kinetic curve. d, e DW MRI Showed non restriction on DWI with ADC values ranging between 1.4 and 1.8 × 103 mm2/s (considered benign). Pathology confirmed the benign nature of the lesions (intraductal papillomata). So, SWE revealed false positive results

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