Breast Mass Case # 4
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64 year old female with new mass on mammogram
| Sagittal
T2W |
Sagittal T2W FS |
Axial
T1W |
Axial
T1W FS post gad |
 |
 |
 |
 |
Spiculated mass, low T2W signal, high T2W FS signal, intermediate T1W signal
| Dynamic post gadolinium T1W FS |
 |
 |
 |
 |
| Enhancement
curve |
 |
 |
Slow enhancement with washout
| Subtraction |
|

First post-enhancement phase
|

Third post-enhancement phase
|
Mammogram: 1.2 cm nodule in the mid upper posterior left breast at the 11-12 o'clock position, new since prior year
| Ultrasound |
 |
Irregular, slightly lobulated, isoechoic to slightly hyperechoic mass
which was palpable |
Diagnosis: Infiltrating lobular carcinoma, alveolar type
Heterogeneous enhancement can mimic nonenhancing septations