Case 46 Indication: Screening. History: Unremarkable. Risk profile: No increased risk. Age: 53 years. Fig. 46.1 a,b Sonography of both breasts. Normal. Fig. 46.2 Digital mammography. Magnification view of right breast. Fig. 46.3 Digital mammography. Magnification view of left breast. Fig. 46.4a-c Contrast-enhanced MRI of the breasts. Fig. 46.5a–c Contrast-enhanced MRI of the breasts. Fig. 46.6 Contrast-enhanced MR mammography. Maximum intensity projection. Fig. 46.7a,b Signal-to-time curves. Fig. 46.8a,b Signal-to-time curves (MR slice below the slice seen in Fig. 46.5b). Please characterize ultrasound, mammography, and MRI findings. What is your preliminary diagnosis? What are your next steps?
Clinical Findings

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