Fig. 2

Case 1: 45 years old with strong family history and pathologically proven left breast IDC showing multiple bilateral complex cystic lesions on sonomammographic assessment (not illustrated on images). DCE-MRI: STIR (A), post-contrast dynamic sequences (B) with time–intensity curves (C), and ADC mapping (D) revealed bilateral cystic lesions with intralesional soft tissue components showing mass enhancement (B) On plotting the time–intensity curve, the lesions revealed type II (plateau curve) (C). The mass showed facilitated diffusion and ADC value of 1.28 (D). Given the patient’s history of contralateral breast cancer, U/S guided VAB-assisted excision of bilateral breast lesions (E & F) revealed intraductal papilloma, UDH, and ADH. Surgical excision revealed low-grade DCIS