case_images: PMC9793057_01
case_images: Pseudo-tumor right breast, with a retraction of the nipple and an appearance
  of "orange peel" resulting from pus to the skin via a skin fistula (blue
  circle).
case_images: 10.1177_2050313X221146671-fig1.jpg
case_images: PMC9793057_01_10.1177_2050313X221146671-fig1.jpg
case_images: fig1-2050313X221146671
case_images: After 7 days of treatment, a cutaneous fistulization appeared and the inspection of the breast found a clinical sign described as "orange peel," resulting from pus to the skin (Figure 1).
case_images: Breast MRI showing lesional ranges as multiple oval and rounded formations
  with irregular thick walls in hyposignal T1 (a) and hypersignal T2 (b), with
  a peripheral enhancement (c) after fat suppression. Note a homolateral
  axillary adenopathy (yellow arrow).
case_images: 10.1177_2050313X221146671-fig2.jpg
case_images: PMC9793057_01_10.1177_2050313X221146671-fig2.jpg
case_images: fig2-2050313X221146671
case_images: The MRI found a lesional range made of multiple oval formations, occupying the entire gland and extending to the skin (Figure 2).
case_images: Ultrasound aspect of the right breast showing an abscess in the form of a
  heterogeneous hypoechoic collection (yellow arrow) with another uncollected
  part in heterogeneous echogenic form with posterior enhancement (brown
  arrow). Note an axillary adenopathy (blue star).
case_images: 10.1177_2050313X221146671-fig3.jpg
case_images: PMC9793057_01_10.1177_2050313X221146671-fig3.jpg
case_images: fig3-2050313X221146671
case_images: The comparison of their fluid signal to the control ultrasound images led to the possibility of an IGM (Figure 3).
case_images: (a) Fibrous mammary parenchyma having decentered epithelial-gigantocellular
  granulomas of caseous necrosis (yellow arrow), HE x10; (b) fibrous mammary
  parenchyma (green arrow) having epithelial-gigantocellular granulomas (red
  arrow) not centered with caseous necrosis, HE x 40.
case_images: 10.1177_2050313X221146671-fig4.jpg
case_images: PMC9793057_01_10.1177_2050313X221146671-fig4.jpg
case_images: fig4-2050313X221146671
case_images: It showed a fibrous breast parenchyma with a polymorphic inflammatory infiltrate and decentered epithelio-gigantocellular granulomas of caseous necrosis (hematoxylin and eosin (HE) x10) in favor of IGM (Figure 4).