Fig. 8

a–e CEM features of a malignant AD (Marked by white arrows in a–c). a Spot tomosynthesis image shows an architectural distortion in the upper outer quadrant of the right breast. Post-contrast recombined CC (early) and MLO (delayed) images b and c show non-mass enhancement in the area of architectural distortion. The density of enhancement is marked, enhancing size is 1.81 cm (> 0.95), contrast/tomo ratio is 1.5 (> 1.31) d and e and there is relative decrease in density in delayed phase compared to early phase. The architectural distortion score is 4. Biopsy from the AD was suggestive of benign proliferative breast disease which was considered discordant and she was referred for surgical excision. Final histopathology was suggestive of invasive lobular carcinoma, lobular carcinoma in situ, atypical lobular hyperplasia, sclerosing adenosis and intraductal papillomatosis