PMC5497655_01
MLO (a) and CC (b) mammogram views of the right breast revealed right upper outer mid and posterior third regional clusters of microcalcifications (circle) with underlying increased density associated with partially marginated nodule; the imaging appearance is suspicious.
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A 72-year-old Saudi Arabian woman had a small right breast opacity detected on a screening mammogram, which revealed right upper outer mid and posterior third regional clusters of microcalcifications with underlying increased density associated with partially marginated nodule (Figures 1(a) and 1(b)).
Target ultrasound corresponding to mammogram, there is partially marginated hypoechoic mass noted at 9 o'clock mid to posterior third of the right breast measuring 0.7 x 0.8 x 0.5 cm. This mass shows tubular extension from the lateral aspect and shows no internal vascularity. This mass appears relatively soft in elastography.
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The target ultrasound shows partially marginated hypoechoic mass with tubular extension from the lateral aspect and relatively soft in elastography (Figure 2).
MLO (a) and CC (b) mammogram views of the right breast revealed a heavily calcified lobulated mass in the outer mid breast measuring 4.8 x 3.9 cm adjacent to a blood vessel with minimal perilesional edema.
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The visualized axilla was unremarkable (Figures 3(a) and 3(b)).
Axial (a) and coronal (b) contrast-enhanced CT to characterize the lesion and rule out metastasis. A heavily calcified right breast mass was noted measuring about 3.2 x 5.8 cm with overlying skin thickening.
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A heavily calcified right breast mass was noted in the axial plane measuring 3.2 x 5.8 cm with overlying skin thickening (Figures 4(a) and 4(b)).
Axial contrast-enhanced postoperative CT performed after three months demonstrates postoperative changes including seroma and multiple right chest wall subcutaneous calcified nodules compatible with metastasis.
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Three months after mastectomy she presented again with recurrent, multiple firm lumps in the outer lower quadrant of her right breast at the mastectomy site (Figure 5).