CT chest-abdomen-pelvis for staging - only chest included here.
Mass measuring 14.5 x 12.4 x 14.7 cm (TRV x AP x CC) fills and expands the left breast. The mass shows extensive areas of necrosis and a small cluster of calcific foci (the latter are most probably calcifications seen on CT abdomen 2 years prior engulfed by the tumour). The mass cannot be visually separated from the left pectoralis muscles. Two adjacent tiny intratumoural air bubbles - most probably iatrogenic. Subcutaneous fat stranding in the chest wall posterior and inferior to the mass.
No radiographic evidence of chest adenopathy or abdominopelvic metastatic spread.
2.5 mm long polygonal subpleural nodule in the upper segment of the right lower lobe (RLL), most probably representing an intrapulmonary lymph node. Several tiny right middle lobe (RML) nodules with ground-glass halo - metastases? inflammatory nodules?