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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: Multi-detector CT chest: can it omit the further need for contrast enhnaced spectral mammography in breast cancer patients candidate for CT staging?

Fig. 3

a A 36-year-old female patient presented with a left palpable lump with diffuse skin thickening. CESM of both breasts CC and MLO views showed right breast (a, b) UOQ clumped non-mass enhancement and scattered ill-defined enhancing masses (arrowheads). Left breast (c, d) showed retroareolar spiculated intense heterogeneous enhancing mass infiltrating the nipple. Other similar yet smaller enhancing masses were seen scattered throughout the left breast quadrants (arrows) associated with diffuse skin thickening. b Contrast-enhanced CT chest axial (a, b), sagittal (c, d) and coronal (e, f) planes showed left breast multiple irregular-shaped enhancing masses (multicentric) (arrows); one of the masses is deeply seated infiltrating the underlying pectoral muscle (a). The largest mass is seen retroareolar invading the nipple (a, e). Multiple pathologically enlarged left axillary levels I, II, and III (curved arrows). Right breast UOQ irregular-shaped speculated mass lesion along with an anterior segmental area of clumped non-mass enhancement (a–e) (arrowheads). Histopathology was ILC grade II on the right side and invasive mammary carcinoma grade III on the left side

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