Fig. 2

A 24-year-old Albanian mother of a 4-year-old (breastfed for 1 year) presented with a left breast lump, pain, erythema and drainage from multiple sites. Clinical photograph (a) of the left breast shows four eschars (arrows), two of which in the upper breast were draining cloudy fluid. Also shown is nipple inversion. b Ultrasound (US) image of the upper left breast shows a hypoechoic mass with indistinct margins with tract extending into adjacent tissue and to the skin surface (arrows) to the uppermost eschars noted the clinical photograph (a). c Axial T1-weighted post-contrast subtraction axial MRI image shows an irregular, intensely enhancing mass in the left breast extending to the chest wall with central areas of non-enhancement consistent with abscess formation. Ultrasound biopsy revealed IGM