Imaging of male breast disease: the good, the bad and the ugly – A pictorial review

The male breast is affected by a broad spectrum of conditions, ranging from benign to malignant, many of which are similar to those occurring in its female counterpart. Despite the challenge motivated by different imaging characteristic features, correct imaging interpretation in male breast disease may aid at differentiation between benign and suspected conditions, narrow the differential diagnosis and guide subsequent management. The purpose of this review is to showcase a wide array of male breast diseases, discuss their imaging presentations and key features for diagnosis. •Male breast disease includes a broad spectrum of conditions, from benign to malignant.•Imaging frequently allows differentiating between benign and suspect conditions.•Imaging also has a role in narrowing differential diagnoses and in guiding management.•Familiarity with the range of features of the male breast conditions is important.