Fig. 1

42 years old female patient came for a follow up screening which revealed a left breast lower inner quadrant inframammary deep focal asymmetry. CESM(contrast enhanced spectral mammography) was requested, which showed underlying focal non mass enhancement.The findings were considered BIRADS4, indicating the need for ROLL (radioactive occult lesion localization) and excision. A stereotactic-guided injection of radioactive technetium was administered, and post-injection imaging revealed hypodense attenuation. Following the operation, the pathology report indicated fibroadenosis with UDH (usual ductal hyperplasia) and intraductal microcalcific foci