Fig. 12
From: What scans we will read: imaging instrumentation trends in clinical oncology
A 59-y/o female presented with palpable mass of right upper breast. Biopsy revealed intraductal carcinoma (IDC) grade III. (a) Digital mammography cranial-caudal (CC) views of both breasts. Notice the lesion (arrows) was poorly delineated due to dense breast. (b) Mediolateral oblique (MLO) view indicates longest dimension of lesion to be 4.3 cm. (c) Under targeted US, the lesion was seen as ill-defined hypoechoic mass with longest dimension of 4 cm. Axial and sagittal post-contrast, fat-suppressed dynamic contrast enhanced (DCE) MRI shows the lesion of a much larger extension at 7.3 cm and avidly enhancing (d and e, arrows). (f) Axial fat-suppressed T2-weighted image shows the large carcinoma (arrows) as hyperintense lesion involving most of the upper part of the breast. Images courtesy of Maia Rauch, MD, PhD