Case 36
Case History
A 28-year-old woman presents with a palpable right breast lump.
Physical Examination
• right breast: palpable lump at 11:00 position of right breast
• left breast: normal exam
Mammogram
Mass (Fig. 36–1)
• margin: obscured
• shape: oval
• density: equal density
Figure 36–1. At the 11:00 position of the right breast, there is an oval mass with partially obscured margins. This mass corresponds to the palpable mass. (A). Right MLO mammogram. (B). Right CC mammogram.
Ultrasound
Frequency
• 11.5 MHz
Mass
• margin: well defined
• echogenicity: hypoechoic
• retrotumoral acoustic appearance: bilateral edge shadowing

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