The recombined image from the CESM study performed 3 min after the injection of iodinated contrast agent demonstrating an additional enhancing lesion (arrowhead), distant to the biopsy proven lobular carcinoma which contains a post-biopsy marker clip (arrow). A second marker clip is seen more anteriorly which had been incorrectly positioned in an area of haematoma adjacent to the biopsy site. CESM, contrast-enhanced spectral mammography.