Case 51 continued

There is diffuse increased density involving the entire left breast, with skin thickening, skin dimpling and possible a large central posterior mass. While this could represent mastitis, inflammatory carcinoma is a likely possibility. An ultrasound is recommended to see whether there is a focal mass:

What is your final assessment?

• BI-RADS 4 - Suspicious - Recommend biopsy if the findings do not resolve with antibiotics
• BI-RADS 4 - Suspicious - Recommend ultrasound-guided core needle biopsy
• BI-RADS 4 - Suspicious - Recommend surgical debridement of the abscess
• BI-RADS 5 - Highly Suggestive of Malignancy - Recommend ultrasound-guided core needle biopsy