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Image IQ: 53-year-old, BRCA2 Positive, Screening Mammo


53-year-old BRCA2 positive patient presented for bilateral screening breast MRI.

A 53-year-old BRCA2 positive patient presented for a bilateral screening breast MRI. On MRI, two irregular enhancing masses were detected in the right breast, measuring 12 mm and 4 mm (Figure 1).

Targeted ultrasound was performed and demonstrated two ill-defined, hypoechoic masses in the 3 o’clock area corresponding to the MRI findings (Figures 2, 3). An ultrasound guided needle core biopsy of the larger mass was performed.

What is your diagnosis?

Intraductal papilloma
Fat necrosis
Invasive ductal carcinoma
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