Assuntos
Transmissão Vertical de Doenças Infecciosas , Microcefalia/embriologia , Complicações Infecciosas na Gravidez , Infecção por Zika virus/transmissão , Adulto , Diagnóstico Diferencial , Feminino , Idade Gestacional , Humanos , Imageamento por Ressonância Magnética , Microcefalia/diagnóstico por imagem , Gravidez , Segundo Trimestre da Gravidez , Ultrassonografia Pré-Natal , Zika virus/genética , Zika virus/isolamento & purificação , Infecção por Zika virus/diagnóstico , Infecção por Zika virus/virologiaRESUMO
PURPOSE: To determine the role of MRI in the evaluation and management of patients with suspicious nipple discharge and normal mammographic and US evaluation. PATIENTS AND METHODS: A total of 50 patients with suspicious nipple discharge and normal mammographic and US evaluation prospectively underwent MRI. The first 16 patients underwent routine breast MRI, while MR-ductography with image fusion at the console was added for the last 34 patients. RESULTS: In 22 of 25 high-risk and malignant lesions, MRI showed enhancement whereas it was normal in three cases. In 25 benign cases (resolution of discharge/benign non-proliferative breast disease), MRI was negative in 22 cases and falsely positive in three cases. CONCLUSION: In this clinical setting, MRI shows excellent sensitivity, PPV and NPV. A negative result on MRI would support clinical follow-up as opposed to surgery.