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Fig. 3. —66-year-old woman with history of right-breast bloody nipple discharge and unsuccessful ductogram. Mammogram (not shown) showed moderately dense breast tissue without suspicious findings. Contrast-enhanced fat-saturated T1-weighted sagittal MR image of right breast shows clumped, segmental enhancement spanning approximately 6 cm in right 6-o'clock axis (arrows). MR imaging—guided localization and surgical excision yielded ductal carcinoma in situ arising in background of atypical ductal hyperplasia and intraductal papillomas. Patient underwent mastectomy.