Fig. 1

A 40-year-old asymptomatic patient underwent right CBS for DCIS, presenting for annual follow-up. A Mammography (CC and MLO views) revealed: Breast density ACR ‘b’. focal asymmetry is seen at right UOQ (white arrow). B Complementary ultrasound revealed: Right operative bed changes and scarring that showed no vascularity detected on color Doppler application. C Contrast-enhanced spectral mammography revealed: an operative bed segmental area of non-mass enhancement at UOQ of the right breast (white arrow). Final Diagnosis: Pathology: DCIS; operative bed recurrence. Final comment: In this case, sonomammography revealed evidence of extensive operative bed scarring. CESM revealed operative bed recurrence as well as showing the true extent of the lesion