42 YO female who originally presented for musculoskeletal pain and then requested breast thermographic examination during her course of care.  Findings were read as TH5 on right and TH4 on left. As a result of the findings, she convinced her primary breast health provider to order a Breast MRI which showed a 3.2 cm non-mass enhancement in the central slightly upper right breast for which an MRI guided biopsy was recommended.  Pathology results demonstrated a ductal carcinoma in situ, high nuclear grade.  She was offered several options for care and elected to have bilateral mastectomy. This case is presented as her breast radiologist became a breast thermography advocate stating “all my imaging studies would have missed this”.

• Additional Images:
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• Supporting Documents: Breast MRI 9 30 20-eb4be6f0
  Title: Breast MRI 9 30 20-eb4be6f0Breast Biopsy 01 27 20-16edd0c0
  Title: Breast Biopsy 01 27 20-16edd0c0Path Report 10 27 20-2e0d2bea
  Title: Path Report 10 27 20-2e0d2bea