Fig. 4
A 62-year-old female presented with left breast rapid increase in size, edema, erythema and peau d’orange. Locally advanced breast carcinoma HER2 enriched subtype. A Digital mammogram showed left breast diffuse asymmetry and marked edematous changes. B Ultrasound images showed indistinct tissue infiltration and liquefaction of the left breast (arrows upper row). The left axilla showed indeterminate nodes which were reactionary presented average size, uniform cortical thickening less than or equal to 0.3 cm and preserved fatty hilum (circles at lower row). C Heterogeneous complete enhancement of left breast regional non-mass at contrast enhanced mammogram that confirmed the whole extent of the disease. Note, right breast upper outer background contrast uptake (arrow)