Case 38
Case History
A 39-year-old woman presents with new left breast lump.
Physical Examination
• left breast: palpable mass at the 4:00 position; a second mammographic mass is not palpable
• right breast: normal exam
Mammogram
Mass (Fig. 38–1)
• margin: circumscribed
• shape: oval
• density: high density
Figure 38–1. Two similar circumscribed oval masses are present in the left breast. One mass is in the upper outer quadrant and the other is in the outer inferior quadrant. These masses are new since the patient’s baseline mammogram 3 years ago. (A). Left MLO mammogram. (B). Left CC mammogram.
Ultrasound
Frequency
• 11.5 MHz
Mass
• margin: well defined
• echogenicity: hypoechoic
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