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Fig. 4A —64-year-old woman with the history of cancer in upper outer quadrant after lumpectomy for breast cancer and subsequent benign biopsy in the medial breast showing fat necrosis. Patient presents for evaluation of a new palpable left medial breast mass. Mammographic findings are benign. Axial maximum-intensity-projection contrast-enhanced image with subtraction shows an isolated focus of enhancement (arrowhead) in the medial breast in the area of palpable concern.