Breast MRI for evaluating extent of disease - case 1

Breast MRI can be used to determine the extent of disease in newly diagnosed cancer patient. The figure depicts the breast MRI of a patient with a palpable mass. Core biopsy revealed invasive lobular carcinoma. Preoperative MRI revealed extensive disease spanning over 7 cm with multiple irregular areas of enhancement (oval; arrows) on T1-weighted post contrast fat suppression imaging (A) with intermediate signal on T2-weighted non-fat suppressed sequences (B).