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Fig. 2D —62-year-old woman with recently diagnosed right breast cancer
underwent bilateral MRI to evaluate extent of disease. In contralateral lower,
outer breast, area of ductal clumped enhancement (arrows) with
washout kinetics is seen. No sonographic or mammographic correlates were
found. MRI-guided core biopsy followed by surgical excision reveals ductal
carcinoma in situ (DCIS)—solid, cribriform, and micropapillary types,
intermediate grade—with central necrosis.