Infiltrating ductal arcinoma of the breast

• predominantly fatty parenchyma with scattered glandular elements of both breasts (ACRI)
• the upper outer segment of the right breast shows a partially ill-defined globular dense mass lesion with some obscuration of its margin and infiltration of the surrounding parenchyma and architectural distortion. The lesion measures 3.5 X 3 cm
• no masses seen in the left breast
• no suspicious clusters of micro-calcifications seen
• normal contour and skin thickness of either breast as well as both nipple/areolar complexes
• no enlarged axillary lymph node

Ultrasonographic examination showed:

• the upper outer quadrant of the right breast (10 O’clock position) shows a lobulated with irregular angular margins heterogeneously hypoechoic mass lesion measuring about 3 X 2 cm in its maximal dimensions. It shows mixed posterior acoustic enhancement and shadowing. The lesion is oriented more vertically and deeper than wide with focal architectural distortion.
• no left breast or axillary masses.
• no ductectasia.