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Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

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. 6

A 39-year-old female patient, presenting with a tiny left breast lump. a US showed a left upper outer quadrant, well-defined hypoechoic lesion (BI-RADS 4c) (arrow). b SWE showed that almost the whole lesion is red (score 4, considered as malignant). A nearby hard(red) satellite was noted that was not depicted on US. The measured Emax. = 114.5 kPa, and Eratio = 13.8 (considered as malignant). c CE-MRI showed homogenous uptake with a wash-out kinetic curve. d, e DE-MRI showed non-restricted diffusion, with ADC value of 1.5 × 103 × mm2/s. Pathology confirmed the malignant nature of the lesion (ILC). DW-MRI showed false negative results

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