Figures & Legends
Figure 1: Ultrasound of the left breast (a) shows diffuse inflammatory changes predominantly affecting the subcutaneous soft tissue. No definite mass or focal lesion noted. Axial FS-T2W MR image (b) shows marked and diffuse hyperintensity and inflammatory changes of the left breast predominantly involving the subcutaneous soft tissue. Repeat MRI with contrast (c) after 2 weeks demonstrates mild interval progression of the disease with prominent subcutaneous enhancement and enhancing left axillary lymph nodes. No focal mass noted. Histology revealed adipocytes rimmed by mildly enlarged lymphoid cells with irregular and hyperchromatic nuclei (d). Karyorrhexis and histiocytes containing nuclear debris in background. Mitotic figures are evident. Hematoxylin and eosin stain, X200 (e): CD8 staining highlights the atypical lymphoid cells rimming the adipocytes. Immunohistochemistry for CD8, X40