Fig. 5

A 40-year-old asymptomatic female patient underwent right CBS for IDC grade II, presenting for her annual follow-up. A Mammography (CC and MLO views) revealed: Breast density ACR ‘b’. Asymmetry is seen in the LIO of the right breast (red arrow) with skin thickening and nipple retraction. Multiple right radiolucent lesions with eggshell calcifications; oil cysts. Left UOQ well-defined ovoid-shaped isodense lesion (blue arrow). B Complementary ultrasound revealed: hypoechoic extensive operative bed scarring in the LIQ of the right breast (red arrow) and left UOQ well-defined oval-shaped parallel lesion (blue arrow). C Contrast-enhanced spectral mammography revealed: No operative bed-enhancing lesions, and left UOQ well-defined enhancing mass (blue arrow). Final Diagnosis: Right breast postoperative changes and Left UOQ fibroadenoma. Final comment: In this case, sonomammography showed suspicious operative bed changes with extensive scarring, while CESM could exclude operative bed lesions