File:Breast carcinoma (multicentric multifocal in mammary Paget disease) (Radiopaedia 50966-56512 Axial T1 C+ fat sat 14).jpg

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Breast_carcinoma_(multicentric_multifocal_in_mammary_Paget_disease)_(Radiopaedia_50966-56512_Axial_T1_C+_fat_sat_14).jpg ‎(512 × 512 pixels, file size: 101 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 50966
  • Image ID: 28033899
  • Image stack position: 14/16
  • Plane projection: Axial
  • Aux modality: T1 C+ fat sat
  • Study findings: Breast density pattern: type C (heterogenous dense breast fibroglandular pattern).Background enhancement: mild to moderate. Right breast:There is a spiculated lesion of the lower inner quadrant which shows low to intermediate signal intensity on T1WI, T2WI, heterogenously enhanced post contrast and restricted diffusion on DWI. It measures 1.4 x 1.5 cm.Presence of abnormal dilated vessels adjacent to the lesion suggestive of neovascularity.Multiple enhancing smaller satellite lesions seen adjacent to the above describe lesion and extending along the duct distribution to the nipple.Multifocal enhancing right axillary lymphadenopathy. Overlying skin and nipple-areolar complex are also enhanced. Impression:Features are in keeping with multicentric multifocal malignant right breast lesions with metastatic axillary lymphadenopathy. BIRADS 6 (HPE proven).
  • Modality: MRI
  • System: Breast
  • Findings: Heterogenous dense breast parenchymal pattern (type C).   There is an opacity noted at the right lower inner quadrant near to the chest wall with associated pleomorphic microcalcifications. Adjacent scattered uniform macrocalcifications also seen at right lower inner quadrant.No architectural distortion seen.Few shotty axillary nodes with preserved central fatty hilum noted. Impression: Biopsy-proven Paget disease with associated mammographic findings suspicious malignant breast lower inner quadrant lesion with microcalcifications - BIRADS IVc
Date Published: 5th Feb 2017
Source https://radiopaedia.org/cases/breast-carcinoma-multicentric-multifocal-in-mammary-paget-disease
Author Nur Ahida Md Ahir
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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