MRI Case 25

44 y/o F presents for diagnostic MRI. What is the most likely diagnosis?


  • Can see abnormal nipple enhancement, thickening, and enhancement of the nipple-areolar complex
  • Asymmetric nipple findings will be seenĀ 
  • Can have associated DCIS and/or invasive cancer
  • Underlying cancer may not be located immediately posterior to the nipple-areolar complex
  • MRI can be helpful in identifying distant, multifocal, or multicentric lesions

Related Radiology Article: Lim HS, Jeong SJ, Lee JS, Park MH, Kim JW, Shin SS, Park JG, Kang HK. Paget disease of the breast: mammographic, US, and MR imaging findings with pathologic correlation. Radiographics. 2011 Nov;31(7):1973-87.