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Fig. 1A —60-year-old woman 15 years after right lumpectomy, with recent left breast bloody nipple discharge. Sagittal contrast-enhanced T1-weighted subtraction diagnostic MR image of left breast shows bilobed, irregularly shaped, irregularly marginated mass with rim enhancement in left breast upper inner quadrant that was nonpalpable and occult to mammography and sonography, for which MRI-guided vacuum-assisted biopsy was suggested. MRI also revealed ductal enhancement in lateral retroareolar region (not shown) for which preoperative ductography, localization, and duct excision were planned.