MRI, medical imaging, ct scan, radiology,radiography,
Feb 08

History (HX):
Known case of breast cancer  (preoperative)

Female   yr

Findings:
A relatively large mass with irregular, spiculated margin in UOQ of right breast with heterogeneous increased signal intensity on T2WI. On dynamic post-contrast images the mass shows thick irregular rim enhancement with type III (rapid-washout) time intensity curve

Diagnostic (DX):
Invasive ductal carcinoma (biopsy proven) in right breast BIRADS VI

Discussion:
Dynamic contrast enhanced MRI of breast is increasingly    used as an adjunct to mammography and US to improve the detection and characterization of primary and recurrent breast cancers and for evaluation of the response to therapy. It is also useful for detecting multifacality and multicentricity of breast cancer

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