Abbreviated breast MRI images (IMAGE)

Radiological Society of North America

Abbreviated breast MRI images

Caption

Abbreviated axial MRI images show a 7-mm irregular mass with irregular margin (arrows) in the right upper inner quadrant with early rapid enhancement (Breast Imaging Reporting and Data System category 4 [suspicious for cancer]). The participant was recalled and underwent an MRI-guided vacuum-assisted biopsy that showed sclerosing adenosis with microcalcifications and usual ductal hyperplasia and focal apocrine metaplasia. On the full-protocol images (not shown), the lesion was T2-weighted hypointense and showed diffusion restriction and washout kinetics in the delayed phase, characteristics that would not have reversed the decision to recall the participant.

Credit

Radiological Society of North America (RSNA)

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