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Fig. 6E. —49-year-old woman 3 years after lumpectomy and radiation for papillary carcinoma, which was predominantly intraductal with small focus of invasion. She now presents with new bloody discharge from left nipple. Sagittal slice from same postoperative MR image (D) shows residual highly suspicious enhancement (arrows). Because patient refused mastectomy, this area was subsequently localized using MR imaging guidance and yielded DCIS, papillary and cribriform type.

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