Case 203
Case History
A 40-year-old woman presents with a palpable right breast lump.
Physical Examination
• right breast: skin dimpling associated with irregular mass, which is fixed to the chest wall, at the 4:00 position in the inframammary fold
• left breast: normal exam
Mammogram
Mass (Fig. 203–1)
• margin: indistinct
• shape: focal asymmetric density
• density: high density