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Case number:130
Age:70
Clinical presentation:Postmenopausal woman with average risk of developing breast cancer presented with lumpish feel in the upper quadrant of the right breast following blunt trauma by ball.


Mammography:


Breast composition:ACR category a (the breasts are almost entirely fatty)
Mammography features:

 ‣ Location of the lesion:None
 ‣ Mass:
   • Number:0
   • Size:None
   • Shape:None
   • Margins:None
   • Density:None
 ‣ Calcifications:
   • Typically benign:None
   • Suspicious:None
   • Distribution:None
 ‣ Architectural distortion:None
 ‣ Asymmetry:Focal
 ‣ Intramammary node:None
 ‣ Skin lesion:None
 ‣ Solitary dilated duct:None
 ‣ Associated features:None

Ultrasound:


Ultrasound features: Right breast, upper outer quadrant at 12 o’clock

 ‣ Mass
   • Location:Right breast, upper outer quadrant at 12 o’clock
   • Number:1
   • Size:2.2 × 1.0 cm
   • Shape:Oval
   • Orientation:Parallel
   • Margins:Circumscribed
   • Echo pattern:Heteroechoic
   • Posterior features:No posterior features
 ‣ Calcifications:None
 ‣ Associated features:None
 ‣ Special cases:None

BI-RADS:

BI-RADS Category: 2 (benign)

Case summary:

Postmenopausal woman presented with lumpish feel in the upper quadrant of the right breast following recent blunt breast trauma. Diagnosed as haematoma collection in right breast, BI-RADS 2 on imaging.

Learning points:


  • Breast lump following trauma needs assessment to rule out underlying malignancy. It is a common observation that breast cancer detection surfaces after trivial injury to the breast.

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