Fig. 5
From: Breast imaging findings in haematological malignancies
A 73-year-old man with a history of CLL and a new palpable mass in the left breast with associated nipple retraction. Biopsy showed chronic lymphocytic leukaemia. a Left breast medio-lateral oblique and cranio-caudal mammograms show an oval circumscribed subareolar mass with mild nipple retraction (arrows). b, c Ultrasound demonstrates an irregularly shaped, hypoechoic mass with angular margins and a thick echogenic rim which shows increased vascularity on colour Doppler evaluation (arrows). d Strain elastography (red equating to hard) demonstrates a hard mass which is significantly larger on the elastogram. The ratio of size was 1.99 between the B-mode and strain image.