RT Journal
A1 Kandil E, King S, Alabbas H, Moroz K, Wright M
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2009
FD October 1
VO 144
IS 10
SP 973
OP 974
DO 10.1001/archsurg.2009.172-a
UL http://dx.doi.org/10.1001/archsurg.2009.172-a
AB 
Abdominal examination revealed a diffuse, mildly tender, distended abdomen with hypoactive bowel sounds. The remainder of her physical examination revealed a mottled, dimpled right breast with nipple retraction and a large 5.0-cm palpable mass. No palpable axillary lymphadenopathy was appreciated. Additional evaluation in the emergency department included an abdominal computed tomographic scan with oral and intravenous contrast (Figure 1).