Right breast abscess
A 15 year old female tells her mom she has a lump in her right breast.
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This is a complex cystic structure with a thick wall.
If you go into the room the breast is swollen tender and the skin is red, this is a breast abscess. Very tender to the touch.
The teaching point is that almost without exception, problem solving breast ultrasound requires the radiologist to review the lesion in real time
This lesion cleared up after needle aspiration and antibiotic therapy.