Breast DCE-MRI in long-term breast cancer survivors: What lies beneath dystrophic calcifications due to fat necrosis?

Breast cancer becomes a chronic condition due to advances in diagnosis and treatment. This fact emphasizes the awareness of late post-treatment sequelae, such as dystrophic calcifications due to fat necrosis. In the case of extremely numerous, diffuse dystrophic calcifications, a coexistent carcinoma can be masked on the clinical, mammographic and ultrasound examination. Breast dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is a problem solving tool, allowing visualization of soft tissues and detection of angiogenesis.