Case History

A 78-year-old woman status post–right lumpectomy and radiation therapy 1 year prior to exam presents with right chest wall pain and cough.

Physical Examination

• Right breast: normal lumpectomy scar

• Left breast: normal exam

• Chest: right chest reduced breath sounds at base

Fig. 38.1 The right breast has architectural distortion consistent with scar. The scar has decreased in size since the previous exam. The left breast is normal. (A) Right MLO mammogram. (B) Left MLO mammogram. (C) Right CC mammogram. (D