Fig. 3

An 80-year-old asymptomatic female patient underwent left CBS for mucinous carcinoma, presenting for her annual follow-up. A Mammography (CC and MLO views) revealed: Breast density ACR ‘C’ with heterogeneous fibroglandular densities and nodulations. Asymmetry is seen at left UOQ with mild skin thickening (white arrow). B Complementary ultrasound revealed: operative bed hypoechoic scarring is seen at left UOQ with no vascularity on color Doppler. C Contrast-enhanced spectral mammography revealed: enhancing focus at right UOQ (white arrow), No operative bed-enhancing masses. Final pathology: right breast mucinous carcinoma (contralateral newly developed lesion). Final comment: In this case, sonomammography could not detect the contralateral newly developed lesion, while CESM revealed a contralateral enhancing lesion and excluded operative bed lesions