Case contributed by Abdulmajid Bawazeer
Diagnosis certain


Known case of hypertension on spironolactone medication came complaining of left breast pain and swelling.

Patient Data

Age: 50 years
Gender: Male

The left breast appears prominent in size and shows flame-shaped speculated retroareolar density seen in the left breast with no calcification or abnormal axillary lymph nodes.
The right breast appears unremarkable.


There is retroareolar flame-shaped hypoechoic lesion with no significant vascularity or internal calcification.
The right breast shows no focal lesion.
Bilateral benign looking axillary lymph nodes are seen.

Case Discussion

Gynecomastia is the most common abnormality in the male breast, associated with many risk factors as drugs (as in our case spironolactone), hormonal, systemic illness, tumors and idiopathic.

Clinical examination reveals retroareolar disc like mobile mass which is tender during the exam.

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