Radiological Case: Delineating Extent of Disease Using Contrast-enhanced Digital Mammography

Bhavika K. Patel, MD


Appl Radiol. 2016;45(11):47-49. 

In This Article

Case Summary

A 54-year-old Caucasian woman presented with a painful left breast lump. The patient's medical history was significant and included a pituitary adenoma, a hysterectomy, and a unilateral oophorectomy at age 53. The patient's menopausal status was unknown but she had no history of hormone replacement therapy. The patient's family history included her mother's diagnosis of melanoma and inflammatory breast cancer at age 60. Prior mammograms were conducted in 2009, 2012 and 2014 (Figure 1). A physical examination of the left breast demonstrated an area of firmness within the superior left breast and a small, mobile, palpable left axillary mass, assumed to be a lymph node. There were no overlying inflammatory changes.

Figure 1.

Subtle developing asymmetry in left breast. 2009 (A), 2012 (B), 2014 (C), and 2015 (D).