case_images: PMC6180830_01
case_images: Histopathological specimen from left mastectomy showing moderately pleomorphic cells with large vesicular nuclei and prominent nucleoli (arrows) consistent with invasive ductal carcinoma (haematoxylin and eosin x 400).
case_images: bjrcr.20150156.g001.jpg
case_images: PMC6180830_01_bjrcr.20150156.g001.jpg
case_images: f1
case_images: An immediate ultrasound-guided core needle biopsy (CNB) of the suspicious area revealed malignant features (Figure 1).
case_images: PMC6180830_02
case_images: An orthogonal sonomammographic scan of the right breast at first presentation showing a poorly circumscribed, taller than wide, hypoechoic mass located at the 12 o'clock position.
case_images: bjrcr.20150156.g002.jpg
case_images: PMC6180830_02_bjrcr.20150156.g002.jpg
case_images: f2
case_images: A final BI-RADS category of 4 (suspicious for malignancy) was assigned to the study (Figure 2).
case_images: Histopathological specimen of ultrasound-guided core biopsy of the right breast mass showing invasive nests and cords of moderately pleomorphic epithelial cells with hyperchromatic nuclei and eosinophilic cytoplasm with an area of comedonecrosis (arrow) consistent with invasive ductal carcinoma (haematoxylin and eosin x 100).
case_images: bjrcr.20150156.g003.jpg
case_images: PMC6180830_02_bjrcr.20150156.g003.jpg
case_images: f3
case_images: She subsequently had an ultrasound-guided CNB of the right breast lump and the histopathological report confirmed IDC (Figure 3).
case_images: PMC6180830_03
case_images: Ultrasound of the breast in orthogonal views showing a spiculated, poorly circumscribed, hypoechoic mass with posterior acoustic shadow in the left breast.
case_images: bjrcr.20150156.g004.jpg
case_images: PMC6180830_03_bjrcr.20150156.g004.jpg
case_images: f4
case_images: There were multiple enlarged lymph nodes with replaced hila in both axillae (Figures 4 and 5).
case_images: Ultrasound of the axilla with a replaced node showing an enlarged lymph node with irregular margins and loss of the usual corticomedullary differentiation; however, Doppler interrogation showed no increased vascularity.
case_images: bjrcr.20150156.g005.jpg
case_images: PMC6180830_03_bjrcr.20150156.g005.jpg
case_images: f5
case_images: There were multiple enlarged lymph nodes with replaced hila in both axillae (Figures 4 and 5).