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We picked 40 pN2M0 patients treated with postmastectomy IMRT. The initial therapy plans had been retrieved therefore the (inner mammary nodes) IMNs and cardiac substructure delineations were added. Three sets of dose-volume variables such as the original programs without internal mammary irradiation (IMNI), the programs with IMNI, as well as the plans with dose limitations towards the heart, had been derived. In left-sided patients, whenever IMNI was included, the V30 for correct ventricle (RV), left v