Abstract. In this study we analyze MR-negative ma lignant lesions of the breast. A total of 204 patients with palpable and/or mammographie lesions were studied. The MR technique consisted of the turbo FLASH and MP-RAGE subtraction techniques. All patients underwent surgical biopsy and/or mastecto my and all specimens were examined by the correla tive radiologic-histologic mapping technique, A total of 208 lesions were evaluated; 145 turned out to be malignant and 63 proved to be benign. Six malignant lesions were misinterpreted as benign on MR imag ing; thus, suspicious contrast enhancement was pre sent in 96 % of the lesions detected by mammogra phy, US, or clinical examination. Especially 4 of the 17 ductal carcinoma in situ (DCIS) lesions were mis interpreted (23.5 %). Despite optimal technique, 6 malignant lesions were not identified by MR imaging. The highest prevalence of these MR occult lesions was in the group of DCIS. Although MR imaging has an important role in the evaluation of breast le sions and, primarily, in ruling out malignancy, one should be aware of the fact that false-negative MR findings do occur.