Case 47
Case History
A 46-year-old woman presents for screening mammogram. After mammogram is done, patient’s physician detects a palpable lump in the same area as the mammographic abnormality.
Physical Examination
• left breast: palpable lump in the upper outer quadrant
• right breast: normal exam
Mammogram
Mass
• margin: indistinct
• shape: irregular
• density: equal density
Associated Findings (Fig. 47–1)
Figure 47–1. In the upper outer quadrant of the left breast, there is an irregular mass with architectural distortion. (A). Left MLO mammogram. (B). Left CC mammogram. (C). Left CC spot mammogram.
Ultrasound
Low Frequency
Frequency
• 6 MHz
Mass
• margin: ill defined
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