DUCTAL CARCINOMA BREAST ENCASING THICK CALCIFIC WALLED TORTUROUS ARTERY- an ultrasound scan

A 50 yr female with lump right breast.

US scan showed a large well defined lobulated inhomogenic hypoechoic solid mass in central & outer region of right breast distorting glandular plane . The mass was encasing a prominently appreciable thick echogenic calcific walled tram track like tortuous structure within it.The structure had echogenic  tortuous branches which showed arterial colour & spectral signals on doppler & , this was a special  & unusual imaging feature in this case. No significant cystic or calcific foci noted within mass . The mass was abutting retro mammary muscle plane & extending deep to nipple . 

 

Fig - US scan right breast shows hypoechoic mass with echogenic elongated tortuous structure in it .

Fig 2- one another echogenic tram track like prominent branch also noted within mass which shows color flow signals on  color doppler , & this suggests vascular nature of this structure .

Fig 3- Spectral doppler interrogation shows arterial signals  

PS - 1) Biopsy proved the mass to be ductal carcinoma.

2) The case is presented to highlight this special imaging finding observed .

3) It is intended for radiologists for academic purpose only .