A 30-year-old female patient presenting with multicentric invasive ductal
carcinoma in the right breast and fibroadenoma in the left breast. On A, one
observes contrast-enhanced, dynamic 3D MIP image with subtraction, demonstrating
the presence of multiple breast nodules at right and one retroareolar nodule at
left. On B, C and D it is possible to observe that the contrast-enhancement
pattern of the breast nodules at right demonstrates characteristics of washout
curve and plateau type 3, sometimes observed in malignant nodules. On E, the
analysis of the kinetic curve of the breast nodule at left demonstrates
characteristics different from the others, showing a type 1 curve, a pattern that
is more frequently observed in benign nodules. Courtesy of Dr. Almir Galvão
Vieira Bitencourt - A.C.Camargo Cancer Center, São Paulo, SP, Brazil.