TY - JOUR T1 - IMage of the month—quiz case AU - Kandil E, King S, Alabbas H, Moroz K, Wright M Y1 - 2009/10/01 N1 - 10.1001/archsurg.2009.172-a JO - Archives of Surgery SP - 973 EP - 974 VL - 144 IS - 10 N2 - 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). SN - 0004-0010 M3 - doi: 10.1001/archsurg.2009.172-a UR - http://dx.doi.org/10.1001/archsurg.2009.172-a ER -