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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

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. 7

A 56-year-old female with positive family history coming for screening. Screening mammography showed dense breasts (not shown). CEDM in MLO view (a) showed faint heterogeneous non-mass enhancement in the upper central region of the left breast along with another LIQ enhancing nodule (arrowed) which was assigned as BIRADS 4. An oval-shaped circumscribed enhancing mass is also noted in the inner para-areolar region of the right breast (arrowed) and was assigned as BIRADS 3. Second look ultrasound (b) was performed on the right breast lesion and showed an oval-shaped circumscribed isoechoic solid mass. Axial postcontrast dynamic MRI series (c, d) showed left retro-areolar heterogeneous intense non-mass enhancement (circled). The right breast lesion showed intense mass enhancement with dark internal septations (arrowed), yet with borderline kinematic features; plateau curve (e), so it was categorized as BIRADS 4. Pathology revealed left multicentric ILC grade II, while the right breast lesion was proved to be fibroadenoma with malignant transformation into invasive ductal carcinoma

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