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Fig. 7B. 60-year-old woman with vaguely palpable density at 12-o'clock
position that was biopsied and revealed infiltrating lobular carcinoma. MR
imaging was performed to assess disease extent. Subtracted sagittal enhanced
three-dimensional T1-weighted FSPGR MR image (TR/TE, 17/2.4; flip angle,
35°) shows additional suspicious mammographically occult irregular mass in
upper outer quadrant (arrow). Directed sonography (not shown) showed
lesion at 12-o'clock position but not upper outer quadrant lesion. MR
imagingguided needle localization (not shown) revealed infiltrating
lobular carcinoma at both sites, with tumor extending to margins.