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Fig. 4A —49-year-old woman with recent diagnosis of invasive ductal
carcinoma (thin arrow, A) of left breast. Sagittal (A)
and axial (B) MR images obtained to determine extent of disease shows
additional area of rapid ductal homogeneous enhancement (thick
arrows) and washout kinetics in upper outer quadrant 3 cm posterior to
primary mass (thin arrow, A). Pathology (not shown) revealed
ductal carcinoma in situ, cribriform type, high nuclear grade, without
necrosis.