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US shows skin thickening on left side (B) compared with right side ( C, arrow), along with increased vascularity in nipple and areola region (D).
Journal Club: diagnostic utility of MRI after negative or inconclusive mammography for the evaluation of pathologic nipple discharge.In such cases, it is useful to apply repetitive pushing maneuvers on the duct, forcing the viscous secretions to move back and forth within the duct lumen.
Due to superficial location of the nipple, the diffusion-weighted imaging/apparent diffusion coefficient features are not always reliable.Leiomyomas of the nipple-areola complex are the least common subtype of genital-leiomyomas, with only 50 previously described cases ( 22).
On MRI, mass is hyperintense on T2-weighted image ( B, arrow), with complete rim enhancement on MIP image ( C, arrow).The main imaging differences between inflammatory nipple lesion, benign tumor, and nipple malignancy are presented in Table 1. Surgical planning regarding the feasibility of conservative surgery is decided based on presence and extent of parenchymal DCIS or IDC on MRI. Intraductal papillary lesions (papilloma) are breast tumors that are observed in 2–3% of women between ages of 30 to 77 years ( 27).