Fig. 1. Screening breast MR images of 31-year-old woman with personal history of contralateral breast cancer.Breast MRI was reported as negative finding.

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Fig. 1. Screening breast MR images of 31-year-old woman with personal history of contralateral breast cancer.Breast MRI was reported as negative finding with severe background parenchymal enhancement. This case was classified as actionable and reason for undiagnosis was determined as severe background parenchymal enhancement. Pre-contrast (A), early post-contrast (B), and delayed post-contrast (C) phase sagittal MR images show focal heterogeneous non-mass enhancement in upper breast (arrows). D. Retrospectively applied MR-computer-aided evaluation image shows lesion displaying mixed red, yellow, and blue color codings indicative of washout kinetic pattern based on most suspicious feature (arrows). E. Seven months later, patient was diagnosed with 1.6 cm high-grade invasive ductal carcinoma. Diagnostic MR image shows irregular, rim-enhancing mass (arrow). Fig. 1. Screening breast MR images of 31-year-old woman with personal history of contralateral breast cancer.Breast MRI was reported as negative finding with severe background parenchymal enhancement. This case was classified as actionable and reason for undiagnosis was determined as severe background parenchymal enhancement. Pre-contrast (A), early post-contrast (B), and. . . Korean J Radiol. 2016 Jan-Feb;17(1):59-68. http://dx.doi.org/10.3348/kjr.2016.17.1.59