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Fig. 5C —29–year-old woman with strong family history of breast
cancer who presented with palpable right upper outer quadrant lump that was
seen on sonography as a 1-cm solid mass. Biopsy revealed invasive ductal
carcinoma. In addition, sagittal (C) and axial (D) images show 3
x 3 x 2 cm area of clumped persistent enhancement in segmental
distribution in right lower central breast (arrows) without
mammographic or sonographic correlates. MRI-directed core biopsy followed by
surgical excision revealed extensive ductal carcinoma in situ, solid,
cribriform, and clinging types, intermediate grade, with central necrosis.
