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. 2019 Nov 25;9:17476. doi: 10.1038/s41598-019-54017-0

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© The Author(s) 2019

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Images of the axilla of a 55-year-old female patient with a 31 mm large invasive lobular carcinoma in her right breast, which was treated with mastectomy and ALND. For both US and MRI (reader 1 and 2) N2–3 axillary lymph node disease was reported. Histopathology of the ALND reported pN2–3 (largest diameter, 50 mm). (a) Axillary US (b) Transversal unenhanced T2-weighted breast MRI.