Presentation
Late presentation for the screening mammogram.
Patient Data
Breast density: scattered areas of fibroglandular density (ACR B)
Left breast:
there is breast shrinkage, skin thickening with a parenchymal pattern, and increased glandular density
retracted nipple MLO; retracted nipple CC
architectural distortion noted at the inner Q (CC view)
no definite suspicious mass or microcalcification
no suspicious enlarged axillary lymph nodes
Right breast: normal
Case Discussion
The patient underwent a full workup for inflammatory breast carcinoma, but unfortunately, she decided for financial reasons to be treated at another hospital. An ultrasound and MRI were done, which showed a suspicious mass, and the diagnosis of inflammatory breast cancer was confirmed by biopsy.