There is an exophytic, well-defined, heterogeneously hyperechoic lesion replacing the right nipple measuring about 38 x 35 x 32 mm. The lesion extends into deeper breast parenchyma without involving the muscle. The lesion shows significant vascularity. The rest of the breast shows fatty parenchyma. There are two, enlarged, non-necrotic nodes in the axilla; lateral to the pectoralis minor. The largest node measure 17 mm on the short axis. There is a loss of hilar fat in the nodes. There is a round-shaped hypoechoic nodule ( 6 x 5 mm ) between pectoralis minor and major in the infraclavicular region. It is located near the edge of the pectoralis minor muscle. There is no internal mammary adenopathy.