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Fig. 2B —74-year-old woman with recently diagnosed invasive ductal carcinoma in right breast who underwent bilateral breast MRI to assess extent of disease. Sagittal T1-weighted image of left breast obtained after injection of IV gadolinium and completion of tissue acquisition at MRI-guided 9-gauge vacuum-assisted biopsy shows air and hematoma obscuring biopsy site. Enhancing lesion is no longer evident. Ductal carcinoma in situ (DCIS) was found at histologic analysis of vacuum-assisted biopsy specimens. Surgery confirmed residual DCIS.