Breast Mass Case # 1
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68 year old female with abnormal mammogram
| Sagittal
T2W |
Sagittal
T2W FS |
Axial
T1W |
Axial
T1W FS post gad |
 |
 |
 |
 |
Spiculated mass, low T2W signal, high T2W FS signal, intermediate T1W signal
| Dynamic
post gadolinium T1W FS |
 |
 |
 |
 |
| Enhancement
curve |
 |
 |
Prompt enhancement with washout
| Subtraction |
|

First post-enhancement phase
|

Third post-enhancement phase
|
Mammogram: Irregular, partially spiculated, bilobed mass with associated pleomorphic calcifications
Ultrasound: 2.1 cm hypoechoic mass containing calcifications
Diagnosis: Infiltrating ductal carcinoma, modified Bloom-Richardson grade 2
Typical appearance for carcinoma