| A 76-year-old patient came to a screening ultrasound of the mammary glands, glands are large, according to her words there was no earlier breast ultrasound scans, but a diagnosis of lipomatosis was made, in particular, the patient had a large mass in the forearm and in the mammary glands she found several mass at palpation. On ultrasound, both mammary glands have a diffusely heterogeneous structure due to multiple hyperechoic inclusions of various shapes and sizes (dozens in each gland - hemangiomas?), Without blood flow at CFM. On their background, I hardly noticed in the nipple area of the one of the mammary glands a chain of hyperechoic microinclusions(microcalcinates?), I looked closely and they were along the contour of a hypoechoic rounded inclusion, on the CFM without blood flow (birads 4-5?). external link | |