Case 168
Case History
A 47-year-old woman with left axillary lumps and a breast lump. She had bilateral augmentation mammoplasties with silicone implants 25 years ago. Seven years ago, they became contractured and the right implant ruptured, so both were replaced at that time.
Physical Examination
• left breast: palpable mass at 3:00. Three palpable lymph nodes are identified.
• right breast: normal exam
Mammogram (Fig. 168–1)
Figure 168–1. There is a mass in the left outer breast, which corresponds to the palpable lump. A high-density lymph node is present in the left axilla. (A). Right MLO mammogram. (B). Left MLO mammogram. (C). Right CC mammogram. (D). Left CC mammogram.
Ultrasound
Frequency
• 13 MHz (Figs. 168–2 through 168–3)
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