135

Case 135

Case History

A 55-year-old woman presents with a new right breast lump.

Physical Examination

• right breast: palpable mass at 12:00

• left breast: normal exam

Mammogram

Mass

• margin: spiculated

• shape: irregular

• density: high density

• architectural distortion (Fig. 135–1)

Figure 135–1. Between 10:00 and 12:00 in the right breast, there are at least two irregular spiculated masses. (A). Right MLO mammogram. (B). Left MLO mammogram. (C). Right CC mammogram. (D). Left CC mammogram. (E). Right MLO spot compression mammogram. (F). Right CC spot compression mammogram.

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