28-year-old woman, 1 year postpartum, with palpable lumps right breast
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Our next patient is a 28-year-old woman.
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She's one year postpartum, um, still breastfeeding
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with palpable lumps in the right breast.
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So the patient indicated the palpable areas
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of concern, and one of them was in the
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right breast at the six o'clock position.
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When we did an ultrasound in
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that area, we found this mass.
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So, relatively hypoechoic mass with
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irregular margins and some internal echogenic
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foci, which are probably calcifications.
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You can see them here in the other plane.
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So, this is antiradial and then
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radial, fairly large mass, 3.4 centimeters.
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16 00:00:43,420 --> 00:00:46,510 And then the second palpable area was in the
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right breast at the nine o'clock position.
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We could see this oval mass with a fluid
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debris level and the debris that's actually
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floating in a non-dependent portion of
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this lesion is the more echogenic material.
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So this is actually a classic appearance
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of a galactocele with a fat fluid level
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and the fat is floating in a non-dependent
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position because it's lighter than the fluid.
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So this was a galactocele.
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And we also looked at the right axilla,
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thought her lymph nodes looked okay.
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So this, this mass in the right breast at
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the six o'clock position was suspicious
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and was recommended for biopsy.
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And that was found to be a poorly
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differentiated invasive ductal carcinoma.
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And the other mass was a galactocele.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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