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European Radiology Experimental
Fig. 7 | European Radiology Experimental

Fig. 7

From: Contrast-enhanced mammography (CEM) versus MRI for breast cancer staging: detection of additional malignant lesions not seen on conventional imaging

Fig. 7

Case number 5 of Table 3. 5. A 47-year-old patient with a palpable right breast mass. Images of the right breast: MRI (a) axial post-contrast T1-weighted non-fat suppressed image with colour overlay, (b) Fat suppressed axial post-contrast (d, e) sagittal post-contrast T1-weighted subtraction images. CEM (c) recombined CC view, orientated to match the axial MRI images (f) recombined MLO view. CEM and MRI both demonstrated the index lesion (solid arrows), a pleomorphic grade 3 invasive lobular carcinoma. MRI showed a moderately enhancing additional 6-mm mass in the postero-superior aspect of the right breast (dotted arrows). This lesion is out of the field of view on CEM. The additional lesion was a metastatic intramammary lymph node. CEM Contrast-enhanced mammography, MRI Magnetic resonance imaging, CC Cranio-caudal, MLO Mediolateral oblique

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