42-year-old woman, gravida 3 para 3

42-year-old woman, gravida 3 para 3, comes to the office due to left breast swelling and pain that has worsened over the past

month. The patient weaned her youngest child from breastfeeding approximately 2 months ago. She last saw a health care provider

a month ago for mastitis and was prescribed antibiotics. Her BMI is 46.6 kg/m2

• Temperature is 37.6 C (99 7 F) and blood pressure is

110168 mm Hg. Physical examination reveals a morbidly obese woman in no apparent distress. Breast examination shows a left

breast that is diffusely warm and erythematous with some dimpling The right breast appears normal. Which of the following is the

most likely diagnosis?

  • QA Breast abscess
  • 0 B. Fat necrosis
  • 0 C. Fibroadenoma
  • 0 D. Infiltrating ductal carcinoma
  • 0 E. Inflammatory breast carcinoma
  • 0 F I ntraducta I papi lloma
  • 0 G. Lobular breast carcinoma
  • 0 H. Mastitis

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