Figure 9c. Nodal recurrence in a 50-year-old woman with an axillary mass after TRAM flap reconstruction. Axial T1-weighted (a), axial T2-weighted (b), and sagittal T2-weighted (c) images of the reconstructed breast show enlarged level I and II axillary lymph nodes (arrows). Biopsy of the axillary nodes revealed moderately differentiated infiltrating ductal carcinoma. m in a = pectoralis muscle.