Recurrent breast cancer in postmastectomy patient

CC and MLO views (Panels A and B) of a TRAM flap in a woman with a palpable lump. An irregular mass with spiculated margins is seen in the lower inner quadrant of the reconstructed breast, corresponding to the palpable lump marked on the skin with a BB marker. Ultrasound (Panel C) shows a solid mass at the area of clinical lump. The indistinct and angulated margins on ultrasound correspond to the spiculations on mammogram.