Case 20
Case History
A 64-year-old woman presents with multiple right breast masses.
Physical Examination
• right breast: 3 cm mass extending from 11.00 to 12:00 (this mass has increased in size since her last exam 1 year ago); stable 3 cm mass at 9:30
• left breast: normal exam
Mammogram
Mass (Fig. 20–1)
• margin: circumscribed
• shape: round
• density: equal density
Figure 20–1. Multiple well-defined round masses are present in the upper inner quadrant as well as above the nipple at the 12:00 position. Since previous exam, two masses labeled land 2 have increased in size. (A). Right MLO mammogram. (B). Right CC mammogram. (C). Right MLO spot magnification compression mammogram.
Ultrasound
Frequency
• 10 MHz
Mass
• margin: well defined
• echogenicity: hypoechoic
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