A 35-year-old female with left indurated tender breast, pathology revealed invasive lobular carcinoma. A, B FFDM CC and MLO views show dense breast with diffuse skin thickening and coarsened trabeculae. C Ultrasound findings were equivocal with just increased parenchymal vascularity. D Axial post-contrast dynamic MRI series shows left breast suspicious intense heterogeneous non-mass enhancement extending to the nipple/areola complex (true positive). E Axial T2-weighted MRI image shows corresponding regional area of low signal intensity (true positive) FFDM; full-field digital mammography; CC, craniocaudal view; MLO, mediolateral oblique view.