Fig. 1

A 46-year-old patient underwent left conservative breast surgery 6 years ago, a (MLO) view DBT b (CC) view DBT, c ultrasound. Tomosynthesis revealed a lower central ill-defined spiculated lesion partially obscured by condensed glandular tissue. Complementary ultrasound revealed irregular hypoechoic solid lesion, the lesion was categorized as (BIRADS4). MRI d Axial T1 weighted image e Axial T2weighted image f post-contrast subtraction T1 weighted image: revealed ill-defined heterogeneously enhancing irregular spiculated lesion eliciting low signal in T1 and T2, the lesion was categorized as (BIRADS4). Histopathology revealed IDC