Figure 8c. Local recurrence in a 31-year-old woman with a palpable abnormality after bilateral TRAM flap reconstruction. Sagittal T1-weighted (a), gadolinium-enhanced fat-saturated GRE T1-weighted (b), and subtraction (c) images of the reconstructed breast show a round mass just superior to the inframammary crease. The mass demonstrates solid enhancement on the gadolinium-enhanced image (arrow in b). Biopsy revealed poorly differentiated intraductal carcinoma.