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Breast – Carcinoma with Lymph Node Metastases

T1-weighted MRI

High resolution sagittal T1W images demonstrates this irregularly shaped tumour with spiculated margins with invasion of the adjacent normal breast parenchyma. This is homogenously hyperintense (“bright”) to the adjacent breast parenchyma.

Axillary nodes  – Enlarged node with lobulated margins, secondary to metastatic disease. Like the primary tumour, this is homogenously hyperintense as well

Gross Pathology

3D Reconstruction

Volume rendered 3D images obtained from the HR T1W images which shows  the spiculated mass with skin retraction inferiorly.

Axillary nodes  – Enlarged node with lobulated margins, secondary to metastatic disease.