Fig. 5

False negative global asymmetry in a 30-year female patient complaining from diffuse right breast swelling and hardness. (A) CC and (B) MLO mammography views of both breasts revealed global asymmetry of the right breast with diffuse skin thickening and oedema pattern. (C) CC and (D) MLO 3 D tomosynthesis views of both breasts were inconclusive and did not add to the mammography showed no underlying masses, architectural distortion or suspicious micro-calcification assigned as BIRADS 4a. Ultrasound images on (E) revealed heterogeneous altered pathological breast parenchyma extending from 10 to 1 O'clock (illustrated at images E- 1 and 2) associated with enlarged pathological axillary LN with thickened cortex and infiltrated fatty hilum (E-3) (BIRADS 5). The lesion was infiltrating duct carcinoma by histopathological analysis