150

Case 150


Case History


A 57-year-old male presents with bloody nipple discharge. He has a long history of primary testicular failure and gynecomastia.


Physical Examination



•   right breast: firm, small, subareolar nodule


•   left breast: normal exam


Mammogram


Mass



•   margin: circumscribed


•   shape: oval


•   density: equal density


Calcifications



•   type: pleomorphic/heterogeneous


•   distribution: grouped/clustered (Fig. 150–1)




Image


Figure 150–1. In the subareolar area, the palpable mass corresponds to an oval mass with heterogeneous calcifications. (A). Right MLO mammogram. (B). Right CC mammogram. (C). Right MLO mammogram (lesion enlarged).


Ultrasound


Frequency



•   11.5 MHz


Mass



•   margin: well defined

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Jan 11, 2016 | Posted by in BREAST IMAGING | Comments Off on 150

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