The mammography revealed bulky, predominantly fatty breasts with a tiny suspicious lesion in the right breast. Spot magnification revealed a spiculated mass
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Ultrasound revealed a small irregular hypoechoic lesion at the 9 o'clock position. The lesion looked highly suspicious for malignancy. A final diagnosis of a BIRADS category 5 lesion was given.
Since the lesion was not palpable, an ultrasound guided wire localisation was done followed by excision.
Histopathology confirmed high grade ductal carcinoma.