DOI: 10.1148/radiol.2262011417
(Radiology 2003;226:515-516.)
© RSNA, 2003
Case 591
Susan P. Weinstein, MD,
Emily F. Conant, MD and
Geza Acs, MD
1 From the Department of Radiology, University of Pennsylvania Medical Center, 1 Silverstein Bldg, 3400 Spruce St, Philadelphia, PA 19104. Received August 24, 2001; revision requested October 1; revision received December 7; accepted January 7, 2002. Address correspondence to S.W.
Index terms: Diagnosis Please
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HISTORY
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A 70-year-old woman, with a medical history of breast cancer treated with mastectomy 11 years before presentation, had a new firm mass in the contralateral breast (Figs 1, 2). The patient did not have nipple discharge or skin changes. Physical examination revealed a firm, nontender, mobile mass in the right lower outer quadrant at the 7-oclock position. No axillary adenopathy was present. There was no skin thickening, skin or nipple retraction, or erythema. The patient did not have a history of trauma.

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Figure 1a. (a) Craniocaudal and (b) mediolateral mammographic views of the right breast. A metallic marker (white dot, also in c) was placed over the palpable breast mass. (c) Spot compression view of the right breast in the craniocaudal position.
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Figure 1b. (a) Craniocaudal and (b) mediolateral mammographic views of the right breast. A metallic marker (white dot, also in c) was placed over the palpable breast mass. (c) Spot compression view of the right breast in the craniocaudal position.
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Figure 1c. (a) Craniocaudal and (b) mediolateral mammographic views of the right breast. A metallic marker (white dot, also in c) was placed over the palpable breast mass. (c) Spot compression view of the right breast in the craniocaudal position.
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FOOTNOTES
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E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: April 15. Answer will appear in the June issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.