Breast Mass Case # 3            Case: 1    2    3    4    5    6    7    8    9    <<Back    Next>>
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 61 year old female with metastatic adenocarcinoma to axillary node, unknown primary
Sagittal T2W Sagittal T2W FS Axial T1W Axial T1W FS post gad
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Spiculated mass, low T2W signal, high T2W FS signal, intermediate T1W signal
Dynamic post gadolinium T1W FS
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Enhancement curve
ma_roi.jpg (52619 bytes) ma_graph.jpg (21971 bytes) 
Prompt enhancement with washout (Type III) and residual rim enhancement
Subtraction

ma_s1.gif (93827 bytes)
First post-enhancement phase

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Third post-enhancement phase

 
Mammogram: 2 cm right axillary lymph node, new from 4 years prior
Ultrasound
ma_us.jpg (43293 bytes) Irregular, solid, hypoechoic palpable retroareolar mass 
Diagnosis: Infiltrating ductal carcinoma, modified Bloom-Richardson grade 3