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Fig. 4A. 54-year-old woman with axillary node-positive infiltrating lobular
carcinoma of right breast. Patient had been disease-free on systemic hormonal
therapy until 6 years after initial diagnosis when tumor markers became
elevated. Posterior projection of restaging bone scan shows multiple foci of
radiotracer uptake in spine, pelvis, and right rib, consistent with metastatic
disease.