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Fig. 5C —53-year-old postmenopausal woman taking hormone replacement therapy who has palpable lump. Focal sonogram corresponding to A and B shows 2.9-cm solid hypoechoic oval mass with smooth well-circumscribed margins and unusually internal cystic spaces. Sonographically guided core biopsy and pathologic examination revealed dense sclerosis and features suggestive of pseudoangiomatous stromal hyperplasia. Surgical biopsy revealed pseudoangiomatous stromal hyperplasia with associated fibrocystic changes. Crosses delineate lesion.