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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: A comparative study between the diagnostic performance of contrast-enhanced digital mammography and dynamic contrast-enhanced MRI in invasive lobular carcinoma of the breast

Fig. 6

A 56-year-old female coming for screening. Screening mammography MLO (a) and CC (b) views showed a focal asymmetry in the UOQ of the right breast with subtle parenchymal distortion (arrowed). Ultrasound examination showed a small hypoechoic lesion with angular margin in the right breast (c) and a small circumscribed lesion in the UOQ of the left breast (d). CEDM in MLO (e) and CC view (f) showed corresponding non-mass enhancement of mild conspicuity in the right breast (arrowed) and two indeterminate enhancing nodules in the left breast (arrowed). Axial postcontrast dynamic MRI series (g, h) showed clumped intense non-mass enhancement in the right breast of marked conspicuity displaying type 3 (washout) curve (circled), while the two enhancing nodules in the left breast (arrowed) displayed type 1 (continuous rising) curve (i) and was assigned as BIRADS 3. Pathology revealed multifocal ILC classic variant. The left breast lesions remained stable by ultrasound follow-up examination

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