Case # 5                                       <<Back    Next>>

 35 year old female with high grade infiltrating ductal carcinoma in the opposite breast
Sagittal T2W Sagittal T2W FS
MRI: No mass
Enhancement curve
 Enhancement: Irregular, asymmetric focus of progressive enhancement against the chest wall
Subtraction


First post-enhancement phase


Third post-enhancement phase

Mammogram: no corresponding abnormality
Ultrasound: 6-mm hypoechoic area with slightly irregular borders
Diagnosis: Non-proliferative fibrocystic mastopathy
Although progressive enhancement and lack of an MRI-identifiable mass were reassuring for a benign process, a focal ultrasonographic abnormality in that region warranted biopsy.
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