Case 73
Case History
A 43-year-old woman presents, status 2 years post-right lumpectomy for breast cancer, now with left breast lump.
Physical Examination
• right breast: surgical scar in the inferior right breast
• left breast: 1 cm lump near the left nipple
Mammogram
Calcifications (Fig. 73–1)
• type: coarse/popcorn
• distribution: single
Figure 73–1. In the subareolar region of the left breast there is a large, coarse, lobulated calcification characteristic of a fibroadenoma. (A). Left MLO mammogram. (B). Left CC mammogram. (C). Left MLO spot magnification mammogram.
Ultrasound
Frequency
• 13 MHz
Mass
• margin: ill defined
• echogenicity: hypoechoic
• retrotumoral acoustic appearance: posterior shadowing distal to mass
• shape: ellipsoid (Fig. 73–2)
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