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Woman 49 yo, on mammography screening detected many left axillary nodes and calcification, no detected tumor in mammary gland (see mammogram).
Ultrasound of left axillary found many lymph nodes, sizes of 1-2 cm, round
and calcification inside node ( US picture 1).
CDI cannot detect hilus of nodes, no vascular signal in nodes, ( US 2, US 3). Elastoscan US of this node was hard, 17.3 kPa ( US 4)
MRI with FAST SCAN DWI..made sure no tumor intra left breast and
Biopsy removed one big node with structure inside look liked caseum.
Microscopy result was tuberculosis with typical big cell LANGHANS.
CONCLUSION: Tuberculosis of axillary lymph nodes..