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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

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

Fig. 4

A 49-year-old female patient complained of continuous bloody nipple discharge from the left breast. Mammography CC (a, b) and MLO views (c, d) showed a heterogeneous, dense, breast parenchyma (ACR C) with left retroareolar asymmetry. An ultrasound (e, f) was performed, which identified dilated ducts with non-vascular echogenic contents. Cytology was performed and revealed atypical epithelial cells, suspicious but inconclusive for malignancy. CESM in MLO (g, h) and CC views (i, j) showed marked bilateral nodular enhancement and was categorized as BI-RADS 3. Pathology revealed DCIS. MLO, mediolateral oblique; CC, craniocaudal, CESM, contrast-enhanced spectral mammography; DCIS, ductal carcinoma in situ

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