Case 147
Case History
A 77-year-old man presents with right bloody nipple discharge.
Physical Examination
• right breast: bloody discharge easily expressed from nipple at 2:00; normal nipple and areola
• left breast: normal exam
Mammogram (Fig. 147–1)
Figure 147–1. There is mild prominence of a right subareolar duct. The left breast is normal. (A). Right MLO mammogram. (B). Left MLO mammogram. (C). Right CC mammogram. (D). Left CC mammogram.
Pathology
• ductal carcinoma in situ
Management
• BI-RADS Assessment Category 0, need additional imaging
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