Case 188
Case History
A 35-year-old woman is admitted for severe disseminated encephalomyelitis of unknown origin. She is comatose.
Physical Examination
• unresponsive patient
• right breast: palpable lump in upper outer quadrant
• left breast: normal exam
Ultrasound
Frequency
• 10 MHz
Mass
• margin: ill defined
• echogenicity: hypoechoic
• retrotumoral acoustic appearance: bilateral edge shadowing
• shape: lobulated (Fig. 188–1)
Figure 188–1. The palpable lump corresponds to a lobulated hypoechoic mass. (A). Right radial breast sonogram. (B). Right radial color Doppler breast sonogram (see Color Plate 188–1B).
Other Modalities (Fig. 188–2)
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