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Be aware of benign lesions

Multiple small contrast enhancing spots (starry sky)

Benign proliferative changes = normal

Smooth, enhancing tumors

Mostly fibroadenomas

Bean-shaped, enhancing nodules

Intramammary lymph nodes

Cysts with enhancing wall

Inflammatory reaction

Complex lesions with contrast enhancement post-op

Fat necrosis

Look for fat or blood degradation products