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Fig. 6C. —49-year-old woman 3 years after lumpectomy and radiation for papillary carcinoma, which was predominantly intraductal with small focus of invasion. She now presents with new bloody discharge from left nipple. Sagittal enhanced 3D T1-weighted FSPGR MR image shows linear irregular branching enhancement (arrow) in left upper inner quadrant. MR imaging—guided needle localization (not shown) and surgical excision revealed ductal carcinoma in situ (DCIS), papillary and cribriform type, from both sites, with tumor extending close to margin.