Case 16
Case History
A 53-year-old woman presents with a new area of bruising in the right upper breast. She does not remember any trauma. She feels a lump under the bruise.
Physical Examination
• right breast: ecchymosis associated with a palpable nodule in the upper breast at approximately 12:00
• left breast: normal exam
Mammogram
Mass (Fig. 16–1)
• margin: circumscribed
• shape: lobular
• density: equal density
Figure 16–1. At the 12:00 position of the right breast, there is a lobulated density. (A). Right MLO mammogram. (B). Right CC mammogram. (C). Right CC spot compression mammogram.
Ultrasound
Frequency
• 7 MHz
Mass
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