0:01

Our next case is a 29-year-old woman presenting

0:04

with a palpable mass in the left breast.

0:08

So for this patient, since she's 29 years old,

0:10

we started with ultrasound

0:13

for her evaluation of her palpable mass.

0:16

She initially had some signs of infection and

0:19

was treated with antibiotics but didn't improve.

0:22

And then was, um, referred to us for ultrasound.

0:26

Here was the ultrasound of the palpable area of

0:28

concern, which is in the right breast at the

0:30

1 o'clock position, 5 centimeters from the nipple.

0:33

And we can see this hypoechoic heterogeneous

0:36

mass, a little over a centimeter in size,

0:40

1.4 centimeters.

0:43

There it is in radial.

0:45

And then there was another separate mass, um,

0:48

a little bit away from this at the 2 o'clock

0:51

position, a little bit smaller in size.

0:56

And with a lot of vascularity and the

1:00

two masses, you can see them here,

1:03

it looked like there was maybe almost like a

1:05

little connection between the two and the

1:07

whole process was about five centimeters in size.

1:11

25 00:01:12,835 --> 00:01:15,554 So this was, you know, concerning for

1:15

malignancy and a little bit unclear,

1:17

uh, what the underlying etiology was.

1:20

So both of these areas were

1:22

recommended for biopsy.

1:23

So this was considered BI-RADS

1:25

a four, uh, suspicious.

1:27

Um.

1:28

And biopsy was advised using ultrasound,

1:32

and on ultrasound biopsy, this was benign breast

1:34

tissue with poorly formed granulomas and

1:37

associated acute and chronic inflammation

1:40

consistent with granulomatous mastitis.

29-year-old with palpable mass in left breast

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0:01

Our next case is a 29-year-old woman presenting

0:04

with a palpable mass in the left breast.

0:08

So for this patient, since she's 29 years old,

0:10

we started with ultrasound

0:13

for her evaluation of her palpable mass.

0:16

She initially had some signs of infection and

0:19

was treated with antibiotics but didn't improve.

0:22

And then was, um, referred to us for ultrasound.

0:26

Here was the ultrasound of the palpable area of

0:28

concern, which is in the right breast at the

0:30

1 o'clock position, 5 centimeters from the nipple.

0:33

And we can see this hypoechoic heterogeneous

0:36

mass, a little over a centimeter in size,

0:40

1.4 centimeters.

0:43

There it is in radial.

0:45

And then there was another separate mass, um,

0:48

a little bit away from this at the 2 o'clock

0:51

position, a little bit smaller in size.

0:56

And with a lot of vascularity and the

1:00

two masses, you can see them here,

1:03

it looked like there was maybe almost like a

1:05

little connection between the two and the

1:07

whole process was about five centimeters in size.

1:11

25 00:01:12,835 --> 00:01:15,554 So this was, you know, concerning for

1:15

malignancy and a little bit unclear,

1:17

uh, what the underlying etiology was.

1:20

So both of these areas were

1:22

recommended for biopsy.

1:23

So this was considered BI-RADS

1:25

a four, uh, suspicious.

1:27

Um.

1:28

And biopsy was advised using ultrasound,

1:32

and on ultrasound biopsy, this was benign breast

1:34

tissue with poorly formed granulomas and

1:37

associated acute and chronic inflammation

1:40

consistent with granulomatous mastitis.

Report

Faculty

Lisa Ann Mullen, MD

Assistant Professor; Breast Imaging Fellowship Director

Johns Hopkins Medicine

Lesson

Sample Lesson

Lesson

Palpable Lumps

Lesson

Breast Pain

Lesson

Nipple Discharge

Lesson

Skin Changes/Inflammation

Lesson

Recall from Screening

Lesson

Surveillance After Breast Cancer Treatment

Lesson

Follow Up Probably Benign Findings - BI-RADS 3

Lesson

Follow up Benign Biopsy

Lesson

Pregnant and Lactating Women

Lesson

Male Patients

29-year-old with palpable mass in left breast