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To the Editor: A 76‐year‐old woman presented with palpable masses in her right breast and right forearm. Physical examination revealed a 5‐cm‐sized mass in the lower outer quadrant of the right breast and a hard, fixed mass, measuring 4 cm in the right forearm. Mammography revealed a round, obscured, hyperdense mass without microcalcifications. Ultrasonography revealed an oval, circumscribed, complex cystic, and solid mass with a predominant cystic component in the lower outer quadrant of the right breast. On dynamic contrast‐enhanced magnetic resonance imaging (DCE‐MRI), the mass showed rim enhancement in part of the thick, irregular wall with an eccentric solid portion and a rapid rate of enhancement in the initial period and washout in the delayed period of enhancement [Figure 1a and 1b]. There were additional findings such as adjacent vessel sign and a prominent increase in ipsilateral whole‐breast vascularity compared to the contralateral breast [Figure 1c]. The kinetic curve in the enhancing solid portion of the mass was a pattern of fast and washout. Time to peak enhancement (TTP) was 70 s, and the signal enhancement ratio (SER) was 1.34.

Interesting Dynamic Contrast-Enhanced Magnetic Resonance Imaging Findings of Metaplastic Breast Carcinoma with Skeletal Muscle Metastasis