case_images: PMC9950848_01
case_images: Breast asymmetry, with right breast enlargement in external quadrants
case_images: cureus-0015-00000034175-i01.jpg
case_images: PMC9950848_01_cureus-0015-00000034175-i01.jpg
case_images: FIG1
case_images: However, the swelling and pain had worsened and several fistulae had spontaneously appeared nearby (Figures 1, 2), from which a thick yellow exudate had started draining.
case_images: Multiple fistulae with purulent discharge on the external aspect of the right breast . (A) The enlargement and (B) fistulae in detail
case_images: cureus-0015-00000034175-i02.jpg
case_images: PMC9950848_01_cureus-0015-00000034175-i02.jpg
case_images: FIG2
case_images: However, the swelling and pain had worsened and several fistulae had spontaneously appeared nearby (Figures 1, 2), from which a thick yellow exudate had started draining.
case_images: CT showing mediastinum, celiac, mesenteric, and latero-aortic adenomegalies, with necrotic center (*), and hepatosplenomegaly with hepatic nodular areas (arrow). (A) Coronal plane. (B) Transverse plane at the liver level. (C) Transverse plane at a lower level. CT: computed tomography
case_images: cureus-0015-00000034175-i03.jpg
case_images: PMC9950848_01_cureus-0015-00000034175-i03.jpg
case_images: FIG3
case_images: CT showed multiple mediastinal, celiac, mesenteric, and latero-aortic adenomegalies with a hypodense necrotic center, as well as hepatosplenomegaly, with ill-defined hypodense, hypocaptant nodular areas in the liver (Figure 3).
case_images: Breast MRI showing a collection (*) with thickened wall and gadolinium enhancement, several smaller abscesses (+), and fistulae (arrow). (A) T1-weighted. (B, C) T2-weighted. MRI: magnetic resonance imaging
case_images: cureus-0015-00000034175-i04.jpg
case_images: PMC9950848_01_cureus-0015-00000034175-i04.jpg
case_images: FIG4
case_images: A breast MRI revealed a massive collection with thickened wall with gadolinium enhancement, and several smaller abscesses on a more superficial plane and fistulae, suggesting an extensive inflammatory process (Figure 4).
case_images: PMC9950848_02