Left breast bifocal infiltrative breast masses associated with ipsilateral level I suspicious axillary lymph nodes (BI-RADS 5). Pathology revealed invasive ductal carcinoma (NOS) grade II.

CT is least sensitive and specific to breast cancer detection and characterization. It is used for assessment of pulmonary or mediastinal metastases.

Digital breast tomosynthesis gives a better 3D image of the breast and higher sensitive than conventional mammography in detection of breast masses, especially in dense breasts.

Case courtesy Prof. Dr. Heba Hassan, Professor of woman radiology, Alexandria University, Egypt.