Of 18 patients, over half were below age 40 and had MRI breast only [fig1]. MRI reports of all cases demonstrated that the majority had a unifocal abnormality. One case had a bilateral abnormality. All cases had an MRI score of 3 except one who had bilateral breast abnormality ( Right MRI 4, Left MRI 3) [fig2]. The appearance of benign and malignant lesions in the MRI are shown below [fig3]. Most patients who had mammograms scored M1 & M2, except one who was M4 due to an irregular mass density [fig4]. At the time of assessment, all patients underwent ultrasounds, which revealed 9 cases with U1 or U2 scores and were discharged [routine recalled(RR)]. Nine patients had ultrasound-guided core biopsies with ultrasound scores of U3 and U4 [fig5]. The ultrasound features showing benign, indeterminate and suspicious lesions are shown below [fig6]. Six of the nine patients biopsied had benign histology ( three fibroadenomas and three reactive intramammary lymph nodes). Two cases had malignancy ( B5b). One case had an axillary lymph node biopsy, which turned out to be follicular lymphoma, and it was referred to the haematology oncology department. Out of 18 cases recalled, 12 cases were RR, either after assessment ultrasound or biopsy. 2 patients had follow-up MRI in 3 months and subsequently RR. Time-intensity curves were retrospectively performed on the 9 cases biopsied and accurately correlated with malignant and benign findings [table1].