Fig. 7
From: Contrast enhanced mammography: focus on frequently encountered benign and malignant diagnoses
High Risk Lesions or Borderline. A 76-year-old woman presented with new hyperdense mass in left upper outer breast on LE images, with avid enhancement and central necrosis on RI CEM. Patient unable to undergo MRI due to pacemaker but subsequent staging CT chest image shows a corresponding mass. Patient underwent left mastectomy which revealed malignant phyllodes tumor. B 40-year-old woman presenting for baseline screening mammogram, called back for architectural distortion. On CEM diagnostic workup, there is persistence of the architectural distortion (solid arrow) on LE images with minimal central enhancement (dash arrow). Ultrasound (not pictured) revealed a subtle area of distortion. Subsequent biopsy was compatible with radial scar, atypical ductal hyperplasia, intraductal papilloma. C Patient presented with suspicious microcalcifications (solid circle on LE image, dash circle on magnified view, and double line circle corresponding to non-mass enhancement on RI)