{"ops":[{"insert":"A 50 year old postmenopausal woman presents with a lump in her left breast for 2 months. There was no associated pain or recent rapid enlargement.\n\nThere is no history of previous breast disease, or a family history of breast, bowel or ovarian malignancy. She is nulliparous, while her menarche was at age 12.\n\nShe was diagnosed with type 1 diabetes at age 20, which is now complicated by diabetic retinopathy, nephropathy and peripheral neuropathy.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-021_en.png"}},{"insert":"\n"}]}
2
Investigate
Mammography
{"ops":[{"insert":"There is dense glandular tissue in both breasts, more on the left side. No discrete nodules are seen; there are no microcalcifications; architectural distortion is absent.\n"}]}
Ultrasound Breasts
{"ops":[{"insert":"There is a poorly defined, irregular lesion of mixed echogenicity in the lower inner quadrant of the left breast; posterior acoustic shadowing is present. The right breast appears normal.\n"}]}
