Sixty-nine-year-old woman underwent contrast-enhanced mammogram (CEM) for screening. A: Low-energy images demonstrate that the breasts are composed of scattered fibroglandular densities and that there is a focal asymmetry in the right, 12 o’clock axis posteriorly (arrows) that is better seen in conjunction with the recombined images. B: Recombined images demonstrate 3 enhancing masses in the right, 12 o’clock axis at posterior depth (arrows). The largest corresponds to the finding on the low-energy images. Extent of disease is better demonstrated on the recombined images. C: Maximum intensity projection from a postcontrast subtracted axial MRI demonstrates multiple adjacent masses corresponding to the CEM finding (arrows).