29-year-old with palpable mass in left breast
HIDEInteractive Transcript
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.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
© 2024 MRI Online. All Rights Reserved.