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Fig. 9 | Insights into Imaging

Fig. 9

From: How to use the Kaiser score as a clinical decision rule for diagnosis in multiparametric breast MRI: a pictorial essay

Fig. 9

Early (A) and delayed (B) contrast-enhanced subtractions, T2w (C), and ADC map (D). Mass lesion in the left breast of a 41-year-old female with newly developed bloody discharge. The lesion shows no spiculations, circumscribed margins (first subtraction), and a plateau-type enhancement curve, corresponding to a Kaiser score of 2, practically excluding malignancy (Fig. 6). Note the intraductal lesion location on T2w and the intermediate low ADC (1.1*10-3 mm2/s). Findings are pathognomonic for a benign papilloma. The symptomatic lesion was resected and histopathology revealed a benign papilloma without atypia

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