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. 2021 Feb 25;31(3):423–431. doi: 10.1136/ijgc-2020-001779

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© IGCS and ESGO 2021. Re-use permitted under CC BY-NC. No commercial re-use. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, an indication of whether changes were made, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Pregnant patient with locally advanced breast cancer: breast ultrasound shows (A) large tumorous mass in the left breast with (B) a regional lymphadenopathy in the left axilla. (C) screening ultrasound is equivocal. at whole body diffusion-weighted MRI, (D) the b1000 diffusion-weighted sequence shows a bright lesion in the liver, corresponding to a solid lesion at (E) T2-weighted sequence compatible with liver metastasis (arrows). Additionally, (F) the b1000 diffusion-weighted sequence confirms the lymph node metastasis (arrowheads) as a bright lesion and nodular shape at (G) T1-weighted sequence and shows a bright lesion corresponding to T1 hypo-intensity in the left femur compatible with bone metastasis (dashed arrows).