Presentation
Routine screening mammogram.
Patient Data
Age: 75 years
Gender: Female
From the case:
Infiltrative ductal carcinoma - breast
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By looking at the MLO view you may initially think this is a small intramammary lymph node. The position is acceptable. But on the CC view its unusually medial in the breast. And the teaching point is its too dense for a node.
From the case:
Infiltrative ductal carcinoma - breast
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A small infiltrating ductal carcinoma.
Case Discussion
Any post-menopausal woman who develops a change in breast imaging deserves careful thought.
The lesion is too dense to be discounted as a lymph node. Not all lesions projected over the pectoral profile on the MLO view are lymph nodes.
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