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Fig. 3D —48-year-old woman with family history of breast cancer who underwent high-risk-screening MRI. Photomicrograph of section from specimen obtained at MRI vacuum-assisted biopsy shows multiple small benign intraductal papillomas with sclerosis in background of fibrocystic changes with rare foci of atypical ductal hyperplasia. Individual small benign intraductal papillomas (arrows) correspond to clumped areas of enhancement (arrows, C). Histologic examination of surgical specimen revealed small benign intraductal papillomas with sclerosis, fibrocystic changes, and ductal hyperplasia with focal atypia. (H and E, x20)