PMC9815483_01
Fungating breast wound. Large fungating mass of the right breast with massive ulceration of the skin (red arrow) and small skin lesions compatible with cutaneous metastasis in the contralateral breast  (black arrow).
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FIG1
During clinical breast examination, we identified a 20 x 20cm fungating mass in the right breast with massive ulceration of the skin and small skin lesions compatible with cutaneous metastasis in the contralateral breast (Figure 1, 2).
Large fungating breast wound with bacterial over-infection and necrosis. Arrow identifying necrotic tissue in the breast wound.
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FIG2
During clinical breast examination, we identified a 20 x 20cm fungating mass in the right breast with massive ulceration of the skin and small skin lesions compatible with cutaneous metastasis in the contralateral breast (Figure 1, 2).
Chest radiogram at admission. Chest radiogram revealing a right pleural effusion (red arrow) with multiple bilateral pulmonary nodules (black arrow) and pleural retraction (blue arrow) in the upper third of the right lung.
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FIG3
The chest radiogram revealed a right pleural effusion with multiple bilateral pulmonary nodules and pleural retraction in the upper third of the right lung (Figure 3).
Contrast-enhanced thoracoabdominal CT. A large neoformative lesion in the right breast (red arrow), ulcerated, with air-fluid levels inside.
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FIG4
A contrast-enhanced computed tomographic (CT) of the thorax, abdomen, and pelvis was performed for staging, which demonstrated a large neoformative lesion in the right breast (with approximately 15 cm), ulcerated, with air-fluid levels inside and enlarged ipsilateral axillary lymph nodes (Figure 4).
Pleural carcinomatosis and pulmonary metastases. Contrast-enhanced thoracic CT showing a loculated right pleural effusion with circumferential irregular pleural thickening (black arrow) and multiple pulmonary nodular lesions with spiculated contours (red arrow).
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FIG5
A loculated right pleural effusion with circumferential irregular pleural thickening due to pleural carcinomatosis and multiple pulmonary nodular lesions with spiculated contours in favor of multiple pulmonary metastases (Figure 5) were identified.