Occult breast carcinoma
Palpable mass 10 o'clock left breast
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Multilobulated, hypoechoic lesion with angular margins and posterior shadowing.
The ultrasound image shows a very alarming solid mass that has all the sonographic criteria of a sinister solid breast mass in an older patient. Normal mammogram.
Up to 10 % of breast cancers are mammographically occult. Even with that wonderful instrument called the retrospectoscope. Which is why we ultrasound palpable lesions. This cancer was completely invisible on all mammogram images.