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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: The added role of contrast-enhanced spectral mammography in the evaluation of pathological nipple discharge

Fig. 2

A 56-year-old female patient complaining of bloody nipple discharge from the left breast. Mammography MLO (a, b) and CC views (c, d) showed left upper outer focal asymmetry. An ultrasound was performed, which revealed left-sided prominent ducts. Cytology was suggestive of intra-ductal papilloma and excision was recommended. CESM in MLO (e, f) and CC views (g, h) showed a suspicious, left, clumped, non-mass enhancement of segmental distribution (BI-RADS 4). Pathology revealed DCIS. MLO, mediolateral oblique; CC, craniocaudal, CESM, contrast-enhanced spectral mammography; DCIS, ductal carcinoma in situ

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