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8%, respectively (p 0.05). Conclusion The CEUS-BI-RADS has a better diagnostic efficiency than MRI-BI-RADS in the differentiation of the breast lesions with calcification. Advances in knowledge •CEUS is a better method in differentiation of breast lesions with calcification.•CEUS-BI-RADS increases the efficiency of diagnosis compared to MRI.Objective To describe the characteristic imaging features of focal nodular marrow hyperplasia (FNMH). Methods and materials Retrospective review of all patients with a diagnosis of FNMH between January 2007