Female , 63 year old , lump in the left breast
From ultrasound : 
There is hypoechoic lesion , thickening wall , with sludge and moving echo inside at the 11 o'clock left breast 
with doppler study there is increase of vascularization in the wall .
Conclusion : 
Supporting  Abcess formation  DD/ complex cyst ,  mass 
Note : 
From Ultrasound the mass very similar to  abcess formation due to thickening wall with increasing vascularization in perifer and moving echo inside  , but these patients are at risk of cancer age.
Durante operation seems chocolate cyst  looks very fragile, suspicious malignancy .
From biopsi from biopsies obtained   infiltrating ductal carsinoma 
MRM was performed on patients continued adjuvant chemotherapy

 
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