34-year-old woman with a personal history of right breast cancer status postbreast conservation therapy, with a new onset of intermittent clear and occasionally bloody left nipple discharge. Mammography and ultrasound were normal. MRI revealed linear nonmass enhancement in the central left breast (solid arrow) and abnormal left nipple enhancement (dashed arrow), suspicious for Paget’s disease, BI-RADS 4 – suspicious. MRI-guided biopsy of the nonmass enhancement showed ductal carcinoma in situ.