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Fig. 1A —72-year-old woman with recurrent invasive ductal carcinoma, presented with bloody nipple discharge. Gross tumor size on pathology measured 1.5 cm. Sonogram of left breast shows carcinoma as hypoechoic mass with spiculated margins (arrows) and posterior shadowing (arrowheads). Mass was seen abutting surgical scar and was highly suspicious for malignancy based on sonographic morphology.