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Abstract
In this This study was prospectively carried on 38 female patients presenting with history of previous breast surgery on either breast sides, who require follow up. It included 38 post-operative patients with 52 breast lesions. Each lesion was assigned an independent BIRADS score for each modality. The results were studied and correlated.One of these is contrast-enhanced spectral mammography (CESM) that improves the sensitivity for breast cancer detection without decreasing specificity as it provides higher contrast and better lesion delineation than mammography alone.CESM is an imaging technique combining digital mammography with intravenous injection of iodinated contrast media to detect hypervascularized lesions. Addition of iodinated contrast agent to Mammography facilitates the visualization of breast lesions