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There is a solid lesion which is poorly circumscribed and non compressible on real time ultrasound imaging. It has no pseudocapsule. On the axial view it is as tall as broad. This is never a fibroadenoma.
Biopsy 6 months later confirmed an infiltrating ductal carcinoma. The lesion had doubled in volume in 6 months. This patient had postive regional lymph nodes on surgical exploration.