PMC7132350_01
CT scan showed mixed solid-cystic mass in the right breast with matted necrotic right axillary node involvement.
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Computed tomography (CT) scan of the chest and abdomen was done for staging and showed no evidence of distant metastasis (Figure 1).
Ultrasound showed multiple hypoechoic nodules in the liver and spleen, compatible with abscesses.
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Fever disappeared on day 10 after injection of ceftazidime, and on the same day, ultrasound of upper abdomen showed multiple small hypoechoic nodules of the liver and spleen (Figure 2).
CT revealed multiple irregular small discrete nodules in both lungs size <1 cm and multiple nonenhanced hypoechoic nodules in the liver and spleen, microabscesses.
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On day 20 after admission, CT scan of the chest and whole abdomen was done, showing small lung nodules and multiple small hepatosplenic abscesses, which was compatible with disseminated melioidosis, and breast tumor was decreased in size (Figure 3).
CT showed decreased multiple hypoechoic nodules in the liver and spleen.
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CT scan was repeated to evaluate diseases and showed the breast tumor increased in size, but markedly decreased in the number of lung, liver, and splenic nodules (Figure 4).