Lumpy breasts and headache – a crucial ultrasound
| Autor: | Y M Hart, S Hinze, R F Adams |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Case of the Month Giant Cell Arteritis Lumen (anatomy) Physical examination Breast Diseases medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Breast skin and connective tissue diseases Halo sign Aged Ultrasonography medicine.diagnostic_test Lateral thoracic artery business.industry Ultrasound Headache General Medicine medicine.disease Giant cell arteritis medicine.anatomical_structure Female Radiology Abnormality medicine.symptom business Artery |
| Popis: | A 65-year-old female was recalled to a breast assessment clinic 2 weeks after a routine screening mammogram because she had told the mammographer she had noticed a new lump in her right breast. Her mammogram showed mixed density breast tissue but no suspicious findings. The original lump had subsided since the mammogram, but she had noticed further mildly tender lumpiness developing in both breasts and a string-like thickening in her right axillary tail. On clinical examination, there was mild tender non-suspicious nodularity in both breasts, with no underlying abnormality on ultrasound. However, ultrasound revealed the palpable band in the right axillary tail to be an artery with a 24 mm segment of circumferential wall thickening (Figure 1). Figure 1 Longitudinal ultrasound image of band-like thickening in right axillary tail, showing “halo sign” (hypoechoic circumferential wall thickening representing oedema) in lateral thoracic artery. Asterisks denote lumen of artery and arrowheads ... On further questioning she reported she had been suffering from a frontal headache for 1 month and was generally feeling tired. What diagnosis could account for these signs and symptoms? What would you do next? |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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