I read your recent article with interest by Bechyna et al. [1] examining the diagnostic implications of background parenchymal enhancement (BPE) in contrast-enhanced mammography (CEM). It can be considered a pilot and important study on CEM, which has recently started showing its strong effects. Your study emphasizes the significant negative effect of moderate to marked BPE on the diagnostic performance of CEM, especially in premenopausal women with dense breasts. However, there are a few import…