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adenosis amorphous anechoic architectural distortion associated Atypical axillary benign Best diagnostic clue Best imaging tool BI-RADS bilateral biopsy showed breast cancer breast tissue C+ FS carcinoma in situ cells circumscribed mass CLINICAL ISSUES Presentation common signs/symptoms core biopsy cyst cystic DCIS dense density DIAGNOSTIC CHECKLIST DIFFERENTIAL DIAGNOSIS disease duct echogenic evaluation excision fat necrosis Fibroadenoma Fibrocystic Changes FINDINGS General Features Grayscale Ultrasound hyperintense hyperplasia hypoechoic mass IMAGE GALLERY IMAGING FINDINGS implant intraductal irregular Left left-hand image lesions linear lobular carcinoma lobulated lumpectomy lymph node magnification views malignancy mammogram Mammographic Findings margins mastectomy mastitis metastases microcalcifications multiple necrosis nipple discharge palpable mass papillary papilloma parenchyma PATHOLOGY General Features patient pectoralis minor muscle phyllodes tumor pleomorphic posterior enhancement punctate radiation Radiology recurrence Right scar screening skin thickening spiculated mass spot compression suspicious T2WI Tl C+ Top Differential Diagnoses tumor Typical Ultrasonographic Findings ultrasound ultrasound shows US-guided usually