Although AME often demonstrates benign morphological features, it is frequently categorized as BI-RADS 4 due to vascular and kinetic characteristics that raise suspicion for malignancy. Our findings suggest that relatively low ADC values further contribute to this suspicious imaging profile. However, the absence of suspicious microcalcifications, an oval or round shape, and hyperintensity on T2WI may aid in the differential diagnosis. Given the malignant potential of these lesions, wide local excision with negative margins is essential, and radiological findings play a crucial role in guiding the need for pathological confirmation.
Öztekin et al. (2026) studied this question.