A 57-year-old patient came for an ultrasound screening of the mammary glands; previously nothing was detected. In the left mammary gland at 5 o' clock a zone of medium echogenicity with a fuzzy uneven contour and a pronounced acoustic shadow and punctate echogenic foci (presumably microcalcifications), vertical orientation, up to 9 mm in size is visualized(birads 4-5?). In the left axillary region, 2 LNs of an atypical echo pattern (replacement by fat? mts?) up to 11x8mm, 12x9mm (attached files 4-5). In the right subclavian area single LN up to 9x5mm (attached file 6). Urgent consultation of mammologist and mammography was recommended. Ps. Attachment 3 - coronary view of birads 4-5 lesion. external link | 
