Mondor disease of the breast
A 55 yr old female is referred for diagnostic mammography. She complains of a 3 weeks history of left breast discomfort and feels a ropy linear subcutaneous density running obliquely laterally from the nipple towards the left axilla. The breast is tender on exam. The mammogram is unremarkable.
Ultrasound images with colour flow of the palpable abnormality in the left breast:
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In clinical practice this is an uncommon diagnosis. The patients can complain of pain but usually the abnormaility is paplable and felt by the patient. The key is to add ultrasound regardless of the mammographic findings. A high clinical suspicion will make the diagnosis together with the Doppler ultrasound images.