Costochondritis lump

The swelling from Tietze’s syndrome may also feel like or resemble a lump. After a few weeks or months, the pain usually goes away. However, the swelling may last for longer. ... In contrast, costochondritis can affect multiple ribs. Rarity: Tietze’s syndrome is considerably less common than costochondritis. Age: Tietze’s syndrome usually ...

Costochondritis lump. Costochondritis is a benign cause of chest wall pain that results from inflammation of the costal cartilage, the cartilage that connect the ribs to the sternum. Patients often present with chest pain; therefore, other causes of chest pain must be excluded with history and physical exam.

by lamclam. Help! Is this Costochondritis or Tietze's Syndrome? Hi all, I am not sure where to start but I have a lot of questions and want to hear your thoughts. Hope someone have similar experiences and thank you in advance! Early last year, I started feeling this lump on my chest. It feels like the a thickened rib on the right side.

Costochondritis affects females more often than males (70% versus 30%). Costochondritis is a common cause of chest pain in children and adolescents. It accounts for 10%-30% of all chest pain in children. Annually, doctors evaluate about 650,000 cases of chest pain in young people 10-21 years of age. The peak age for the condition is 12-14 …The most common symptoms of Tietze syndrome are chest tenderness and swelling. The pain can be mild or severe, dull or sharp. Tietze syndrome may also cause: Redness or a warm feeling where it ...Tietze syndrome is a benign inflammation of one or more of the costal cartilages.It was first described in 1921 by German surgeon Alexander Tietze and was subsequently named after him. The condition is characterized by tenderness and painful swelling of the anterior (front) chest wall at the costochondral (rib to cartilage), sternocostal (cartilage to sternum), or …Key facts. Costochondritis causes pain and tenderness in your chest. The pain usually comes on gradually. Costochondritis is caused by inflammation in the cartilage that joins your ribs to your breastbone. You can ease the pain by avoiding strenuous activity, applying a heat pack, gentle stretching and taking anti-inflammatory medicines. Costochondritis is the medical term for inflammation of the cartilage that joins your ribs to your breastbone (sternum). Cartilage is tough but flexible connective tissue. It acts as a shock absorber, cushioning the joints. Costochondritis will normally improve on its own after a few weeks but sometimes takes longer. Yikes that looks bad. You should really get it checked out somehow though. Could be a tumor or something. I tried some hard pushup exercise month ago before this happen. That could be Tietze syndrome, but I am not a doctor.What is acute costochondritis? Acute costochondritis, also called chest wall pain syndrome, is a common cause of pain in the front of your chest near the breastbone (sternum). Usually, the pain occurs because of inflammation of the cartilage between the sternum and the ribs. This inflammation is called costochondritis.The University of Rochester says that both malignant (cancerous) chest wall tumors and benign (non-cancerous) tumors in the chest wall can cause a visible lump. 13 . In most cases, a lump in the center of your chest is often a protruding xiphoid process, so, a visit to your doctor will help to put your mind at rest. How to Treat Xiphoid Process ...

Costo affects all the muscles involved in the chest area. Yes it’s an inflammation of the cartilage but it affects the muscle tention in the whole thorax. Most muscles in the neck attach to the upper thorax. Then we have the small muscles around the larynx they too get affected by the imbalances.This can include the jaw, neck, shoulders, hips, and chest. A common symptom of AS is chest pain or stiffness that gets worse when you take a deep breath, sneeze, cough, exercise, or put your ...Pulling a muscle in your chest. Inflammation around the ribs, caused by conditions called costochondritis or Tietze's syndrome. A medical condition, such as angina or gallstones. 2. Symptoms of chest wall pain. The pain can be on 1 side, in a specific area or around a wide area of the breast. It may be burning or sharp, may spread down the arm ...Like where cartilage attaches to the sternum or where cartilage attaches to the rib bone? If so, it might be Tietze Syndrome. I have it and its basically costochondritis that primarily affects the upper ribs and it can cause "rosette" or ball-shaped swelling at those spots.If you’ve found a questionable lump or something was suspicious on a recent ultrasound or mammogram, your doctor may have recommended a breast biopsy. While requiring a biopsy may ...Definition. Costochondritis is a self-limited condition defined as inflammation of costochondral junctions of ribs or chondrosternal joints, usually at multiple levels and lacking swelling or...OBJECTIVE. The purpose of this article is to summarize our experience with the use of ultrasound for evaluation of costochondral cartilage deformity in patients presenting with an anterior chest wall mass. MATERIALS AND METHODS. From 2007 to 2012, we identified all patients at our tertiary care children's hospital younger than 18 years old who underwent ultrasound for a clinical indication of ...The lump on my sternum seems to be going nowhere, but at least the pain is a lot better. i've been working with a PT here and doing the exercises and stretches every day alongside using the backpod once or twice a day. I've noticed that every time i finish stretching on the backpod, my pain is like totally gone (temporarily) and it feels amazing.

betterxtogether • 3 yr. ago. yes, I haven’t got an official diagnosis but I have fibromyalgia. I’ve had chest pain daily for about 2 years and I noticed lumps, I had an ultrasound and they queried costochondritis but didn’t take it any further. One side of my ribs feels way more prominent and lump in places than the other side. Costochondritis is inflammation of the areas where your upper ribs join with the cartilage that holds them to your breastbone. These areas are called costochondral junctions. The condition causes... Pulling a muscle in your chest. Inflammation around the ribs, caused by conditions called costochondritis or Tietze's syndrome. A medical condition, such as angina or gallstones. 2. Symptoms of chest wall pain. The pain can be on 1 side, in a specific area or around a wide area of the breast. It may be burning or sharp, may spread down the arm ... When to see a doctor for costochondritis symptoms. Costochondritis causes chest pain, felt next to the breastbone (sternum). It often affects both sides (left and right) but can occur on one side only. The chest pain is usually sharp and worse on taking a deep breath, coughing, or stretching. Costochondritis isn't a serious condition.Hi guys, so I’ve been dealing with costochondritis now for around 4 weeks, it only started at night at first when I was going to sleep and I’d find it difficult to find a comfortable position. Then it got to the point where it was during the day so basically constant. I’ve also got a lump between my collarbone and top of my breast. I started using it religiously for 1 month (twice a day, once in the morning and once in the night). I dont know if I used it incorrectly but I feel like it made things worse. Before my pain was on and off but now it seems like it is always on. Any movement I make seems to aggravate my chest. I also developed this sensation of a lump in my throat.

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I’ve had costochondritis since March of 2022. But in January of this year, my right rib started getting a lot more painful and often the muscle over the lower ribs swell. You need to get an MRI or CT scan which would be way better to see that area and rule anything bad out. Worth the peace of mind imo.Chest swelling. My advice is don't touch/massage it, and apply a hot wet towel on it a few times per day / go to the sauna if you have the opportunity. Mine seems to be slooowly healing that way. (Any touching/poking really aggravates the pain and swelling for me) I had on left side, just below my collar bone.According to the Mayo Clinic, pea-sized lumps in the armpit are a symptom of hidradenitis suppurativa, a condition in which the hair follicles become blocked. The cause of hidraden...Overview. This is an inflammation of cartilage in your chest. Cartilage is a flexible tissue found in joints throughout your body. Costochondritis involves the cartilage that connects your ribs to your sternum. The sternum is also known as the "breastbone." betterxtogether • 3 yr. ago. yes, I haven’t got an official diagnosis but I have fibromyalgia. I’ve had chest pain daily for about 2 years and I noticed lumps, I had an ultrasound and they queried costochondritis but didn’t take it any further. One side of my ribs feels way more prominent and lump in places than the other side. Nov 21, 2022 · Costochondritis and COVID-19 Risk. COVID-19 can cause debilitating, lingering symptoms long after the infection has resolved. One of those symptoms is costochondritis. COVID-19 is associated with inflammation in the lungs and other parts of the body, such as the heart, brain, and muscles. Children are particularly susceptible to inflammation of ...

Summary. The xiphoid process is a small extension of bone just below the sternum. Straining and heavy lifting can damage the xiphoid process, leading to pain in the lower ribcage, breastbone, and ...This can include the jaw, neck, shoulders, hips, and chest. A common symptom of AS is chest pain or stiffness that gets worse when you take a deep breath, sneeze, cough, exercise, or put your ...Costochondritis — inflammation of the cartilage that connects the upper ribs to the sternum; Empyema — fluid that builds up between the pleura and the inner lining of the chest wall; Symptoms. The most common symptom related to a chest wall infection is chest pain. This is often due to the inflammation caused by the infection and may become ...Costochondritis (kos-toe-kon-DRY-tis) is an inflammation of the cartilage that connects a rib to the breastbone (sternum). Pain caused by costochondritis might mimic that of a heart attack or other heart conditions. Costochondritis most commonly affects the upper ribs on the left-hand side of your body.The ones in the middle of the ribs gets me worried. One is a bit below the nipple. Yes, it's called Tietze's syndrome. Many of us have it. Yep. As a thumb rule, if the lumps are painful and hard they are most likely just intercostal inflammation. If the lumps are not painful and are soft, like you can move them around with your finger that's ...Tietze syndrome is a rare, nonsuppurative inflammatory condition characterized by chest pain and swelling at the costochondral junction.[1] Tietze syndrome is a painful but benign condition characterized by localized swelling, most commonly unilaterally at the 2nd and 3rd costosternal or costochondral joints. However, the sternoclavicular joint can also be involved.Costochondritis that does not self-resolve is referred to as atypical costochondritis and is associated with high medical expenses and psychological burden on the patient. In this report, we discuss the case of a 37-year-old healthy male patient who presented with a two-year history of intermittent pain along the right anterolateral rib cage ...The swelling from Tietze’s syndrome may also feel like or resemble a lump. After a few weeks or months, the pain usually goes away. However, the swelling may last for longer. ... In contrast, costochondritis can affect multiple ribs. Rarity: Tietze’s syndrome is considerably less common than costochondritis. Age: Tietze’s syndrome usually ...

Costochondritis doesn't cause a lump, but rather inflammation in the cartilage between the ribs. And the locations of the lumps near your jaw/ear could be your lymph nodes. The only way to know for sure if the hard lump around the sternum/ribs is cancer is with imaging or a biopsy.

When planning ahead for retirement, it is important to think about the potential tax consequences in the short and long run. Roth contribution methods include adding post-tax money...Costochondritis is a self-limiting condition that typically clears up on its own over time. Over-the-counter pain relievers can help manage symptoms in the meantime, either in oral pill form or as topical creams. Corticosteroid injections, a TENS unit, or physical therapy may also help with persistent pain.If you are in a position to donate money to organizations aimed at addressing police violence or systemic racism, consider making your donation a recurring, monthly one rather than...Costochondritis is inflammation of a rib or the cartilage that connects a rib to your breastbone (sternum). It causes tenderness, and sometimes chest pain may be sharp or aching, or it may feel like pressure. Pain may get worse with deep breathing, movement, or exercise. In some cases, the pain is mistaken for a heart attack. Despite this, the … Can costochondritis cause side pain like pain on my side ribs ? 2 doctors weighed in across 2 answers. i have a lump on my lower left ribs it feels very inflamed and hurts i was told it was a benign tumor but i also have sinusitis and costochondritis w?: Seek reeval: if worse seek reevaluation or second opinion if dissatisf. Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1] Chest pain, the primary symptom of ...The inflammation of the cartilage in the rib cage causes symptoms of costochondritis. These include: Sharp or aching pain or pressure that may radiate or move to the back or stomach. Pain that can be sudden and spread across the chest (some may think it’s a heart attack) The sternum (the breastbone in the middle of the ribs) is tender to touch.Costochondritis is inflammation of a rib or the cartilage that connects a rib to your breastbone (sternum). It causes tenderness, and sometimes chest pain may be sharp or aching, or it may feel like pressure. Pain may get worse with deep breathing, movement, or exercise. In some cases, the pain is mistaken for a heart attack. Despite this, the …Costochondritis — inflammation of the cartilage that connects the upper ribs to the sternum; Empyema — fluid that builds up between the pleura and the inner lining of the chest wall; Symptoms. The most common symptom related to a chest wall infection is chest pain. This is often due to the inflammation caused by the infection and may become ...

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Lump; Bruises; Redness and warmth; Swelling. The above symptoms indicate breast infection, more common among breastfeeding women. But other women might also ...Oct 12, 2023 ... You may feel a lump or a swelling around your chest, which can be painful to touch. The swelling is usually a result of inflammation in the ...Tietze syndrome is a rare inflammatory condition that involves inflammation of the cartilage between the ribs and sternum. The characteristic symptom is chest pain, which may radiate to the neck ...now on my left side right under the level of sternum i have a 3-4 inch circle spot that is very sensitive and feels like a ball hit it, cuz it divots there slightly and all the tender ribs lead to it. something very weird is the structure in that are is not what you expect following ribcage its like all different angles, idk hard to explain. 4.Tietze syndrome is a benign inflammation of one or more of the costal cartilages. It was first described in 1921 by German surgeon Alexander Tietze and was subsequently named after him. The condition is characterized by tenderness and painful swelling of the anterior (front) chest wall at the costochondral (rib to cartilage), sternocostal ...Nov 28, 2019 · Costochondritis is a temporary or acute inflammation that affects the cartilage in the chest. This type of inflammation attacks the cartilage in the sternum, which is the flat and long bone in the middle of the rib cage. Costochondritis typically causes chest pain that may last for several weeks or longer. Unfortunately, while it is uncommon ... Costochondritis is the medical term for inflammation of the cartilage that joins your ribs to your breastbone (sternum). This area is known as the costochondral joint. Cartilage is tough but flexible connective tissue found throughout the body, including in the joints between bones. It acts as a shock absorber, cushioning the joints.Welcome to the official YouTube channel of Synergy Wellness Chiropractic & Physical Therapy. We are a multi discipline chiropractic and physical therapy prac...Mastalgia is a medical term used for breast pain, one of the most common complaints among women of 15 to 40 years of age (child-bearing age). Approximately two-thirds of women during their reproductive lives suffer from this condition and seek medical help. It is a dull, aching pain while some women may describe it as heaviness, tightness, …I’ve had costochondritis since March of 2022. But in January of this year, my right rib started getting a lot more painful and often the muscle over the lower ribs swell. You need to get an MRI or CT scan which would be way better to see that area and rule anything bad out. Worth the peace of mind imo.Go to costochondritis r ... I have a hard lump on my rib just under my left breast. I'm so inflamed now that my hr is elevated to 115. I'm actually scared. I take 600 MG of ibuprofen 2-3 times a day. I'm going to try a heating pad next. Reply More posts from r/costochondritisAll kidding aside, yes, I get sore "knots" and "lumps" in the cartilage on either side of my sternum. I also get pain in my sternum and in all areas of the cartilage highlighted in your picture. I will also have pain that feels internal if that makes sense. ….

Costochondritis is a benign cause of chest wall pain that results from inflammation of the costal cartilage, the cartilage that connect the ribs to the sternum. Patients often present with chest pain; therefore, …The most common symptoms of costochondritis are pain and tenderness in the chest. You may feel: Sharp pain at the front of your chest wall, which may move to your back or stomach. Increased pain when you take a deep breath or cough. Tenderness when you press the area where the rib joins the breastbone. Less pain when you stop moving and …Costochondritis is one of the more common causes of breast pain from the chest wall. The tenderness is due to inflammation of one of the underlying joints of the rib cage called costochondral junctions. The rib cage is made from a mixture of bone and cartilage; at the point where the bone becomes cartilage there are some tiny joints.It hasn’t aggravated the costochondritis, and has taken the itch away most of the time (which is a fantastic feeling after all this time!). I am attributing a lot of the improvement to the shoulder muscles being fitter and stronger (especially the group of muscles between the shoulders). I suspect that this is what naturally pulls the sternum ...Admits to feeling a small pea sized lump on left breast at 3’oclock point that is painful if touched (“feels like you are pushing in on a bruise”). Says that she began to feel it 3-5 months ago. Denies discharge, denies dimpling of breast. ... Costochondritis - d/t c/o pain and tenderness in breast that could be Costochondritis doesn't cause a lump, but rather inflammation in the cartilage between the ribs. And the locations of the lumps near your jaw/ear could be your lymph nodes. The only way to know for sure if the hard lump around the sternum/ribs is cancer is with imaging or a biopsy. Hold a ball with your arms fully outstretched. Now gently hug it into your body with your arms, making sure you feel a contraction in your chest. Perform three sets of 5- to 10-second holds. 3. Swiss Ball Walkout. Lie with the ball under your chest. Slowly walk your hands forward on the floor until the ball is at your hips.Costochondritis that does not self-resolve is referred to as atypical costochondritis and is associated with high medical expenses and psychological burden on the patient. In this report, we discuss the case of a 37-year-old healthy male patient who presented with a two-year history of intermittent pain along the right anterolateral rib cage ... Costochondritis lump, Summary. The xiphoid process is a small extension of bone just below the sternum. Straining and heavy lifting can damage the xiphoid process, leading to pain in the lower ribcage, breastbone, and ..., While both costochondritis and Tietze syndrome feature symptoms such as localized chest pain and tenderness, Tietze syndrome also causes swelling over the ribs and cartilage near the breastbone (sternum). Signs and symptoms such as. redness, tenderness, and. warmth can also be present, but a localized swelling is the …, I have a lump as well and am having lots of anxiety about it although I’ve had costochondritis for many years this time my anxiety is very high. How long have you had it? What does your lump feel like? Mine is on the right side of the chest very close to the sternum about 2-3 ribs down it feels hard, almost like that rib is bigger than the ..., Costochondritis is the inflammation of the cartilage in between the rib cage ... If you have developed a sternum tumor, it can grow and form a mass in the center ..., Costochondritis, a condition often confused with heart problems, is characterized by chest pain due to inflammation in the cartilage connecting your ribs and breastbone. It can have several causes. Old injuries to the ribs or thoracic spine could be a potential trigger for costochondritis. Let's say you had an injury years ago - it might not ..., Gym and diet change but it's a process. Well I'm not sure what the statistics are for men but in women, when there is a lump felt in the breast, 90% of the time it is benign. The most common reasons for lumps are cysts and fibroadenomas. Men can also very rarely get fibroadenomas as well., The lump on my sternum seems to be going nowhere, but at least the pain is a lot better. i've been working with a PT here and doing the exercises and stretches every day alongside using the backpod once or twice a day. I've noticed that every time i finish stretching on the backpod, my pain is like totally gone (temporarily) and it feels amazing., There’s virtually never a bad time to visit paradise. Bermuda, a jewel in the Atlantic Ocean, can be enjoyed any time of the year. Bermuda is often lumped into other islands in the..., Costochondritis refers to inflammation of the costal cartilage, which joins your ribs to your breastbone. The condition can cause sharp chest pain that may …, Costochondritis often causes sharp pain and tenderness, especially when you breathe, cough, or press on the area where the ribs meet the breastbone. The pain may also radiate to the stomach or back. Robert Schwartz, M.D., chair of the Family Medicine and Community Health at the University of Miami Health System, says that the symptoms differ ..., Costochondritis (kos-tuh-kon-DRY-tis) is a painful swelling of the cartilage that attaches the ribs to the breastbone (sternum). It's one of the most common causes of chest pain in kids and teens, and happens more often in girls than boys. Costochondritis — also called chest wall pain or costosternal syndrome — can cause a sharp, stabbing …, Welcome to the official YouTube channel of Synergy Wellness Chiropractic & Physical Therapy. We are a multi discipline chiropractic and physical therapy prac..., betterxtogether • 3 yr. ago. yes, I haven’t got an official diagnosis but I have fibromyalgia. I’ve had chest pain daily for about 2 years and I noticed lumps, I had an ultrasound and they queried costochondritis but didn’t take it any further. One side of my ribs feels way more prominent and lump in places than the other side. , The inflammation of the cartilage in the rib cage causes symptoms of costochondritis. These include: Sharp or aching pain or pressure that may radiate or move to the back or stomach. Pain that can be sudden and spread across the chest (some may think it’s a heart attack) The sternum (the breastbone in the middle of the ribs) is tender to touch., May 1, 1997 ... ... mass with coarse calcifications and an associated soft-tissue mass. Radiographic and CT features of costochondritis include chondral ..., A lump of mostly starch (and a surprising amount of vitamin C) that grows in the ground. Potatoes have been saddled with a reputation of being “unhealthy,” and it’s unfair. The pot..., Sep 27, 2022 · Costochondritis is a condition that causes chest pain because of inflammation of the cartilage and bones in the rib cage. Costochondritis pain is the result of inflammation where the rib bone meets the breastbone ( sternum ). This is where cartilage joining these bones can become irritated and inflamed. , Oct 16, 2020 ... Can't Conquer COSTOCHONDRITIS? ... Costochondritis (RIB CAGE PAIN) is NOT What You Think - Dr. ... Breast Mass or Lump: What can it be if it's not ..., Chondrodermatitis nodularis is a solitary, firm, and oval-shaped nodule, 4–6 mm in diameter, with central crust and surrounding erythema. In men, the most common site for CNH is the helix, while in women it is more often found on the antihelix. It is typically unilateral, located on the sleeping side, but can be bilateral. , A lump on the side of the knee could be a result of an injury, swollen or torn ligaments or a cartilage tear, according to WebMD. Knee injuries can cause fragments of the bone or c..., Jun 11, 2016 ... Is My Chest Pain Costochondritis, Slipped Rib or a Heart Problem? Synergy Wellness Chiropractic & Physical Therapy PLLC•63K views · 25:55 · Go&nb..., Look up Globus Hystericus, that is far more common than oesophageal cancer and often relates to stress. TwllBach · 27/10/2012 12:41. I had costochondritis at the end of August - I feel your pain I didn't have the lumpy thing though., Costochondritis is a self-limited inflammation of the costochondral joints or costosternal joints of the chest wall. Although costochondritis is one of the most common causes of chest pain in adults, it is important to distinguish this pain from other causes of chest pain, like a heart attack, which could be life-threatening., So for about the past 6 months I’ve had something I would describe as a somewhat moveable hard lump, right next to my xyphoid process. It doesn’t feel like it’s attached to bone but more like it’s in the muscle or cartilage between the xyphoid process and where it meets the ribs., I noticed a lump some months ago while I was doing a massage over my ribs. The lump seems bony (hard, I don't know if it's made of bone) and doesn't move. It's not very big, and can be barely seen. But it hurts if I press it in the "right" places. I think my costo comes from that exact area. My rib "pops" sometimes depending on how I move, and ..., costochondritis. The most common sites of pain are close to the breastbone (sternum), and the costochondral junctions at the level of the 4th, 5th and 6th ribs. Most cases of costochondritis are mild and often settle quickly within 1-2 months. Occasionally it can last longer or return. Self-help for costochondritis, Intercostal neuralgia is a type of nerve pain that's felt in the chest. It occurs when the intercostal nerves are inflamed, irritated, or compressed. The pain can have a number of possible causes, including chest trauma, shingles, or a pulled or strained muscle. Intercostal neuralgia can sometimes be mistaken for a heart attack., Outlook. If you have fibromyalgia (FMS), chest pain may be one of your symptoms. A condition called costochondritis, which causes pain around the breastbone and rib cage, could be to blame. It is caused by inflammation in the cartilage that connects your ribs and sternum (breastbone). It's believed to be common in people with FMS., I posted a couple weeks ago that I found a lump in my chest and was having a mammogram on the 23rd. Results came back as Gynecomastia, which is essentially male breast growth . So that's good news Still in a bad flare up of costo though , Been close to a month . Even after 12 days of prednisone. I just need a break sometimes lol, Mastalgia is a medical term used for breast pain, one of the most common complaints among women of 15 to 40 years of age (child-bearing age). Approximately two-thirds of women during their reproductive lives suffer from this condition and seek medical help. It is a dull, aching pain while some women may describe it as heaviness, tightness, …, The swelling from Tietze’s syndrome may also feel like or resemble a lump. After a few weeks or months, the pain usually goes away. However, the swelling may last for longer. ... In contrast, costochondritis can affect multiple ribs. Rarity: Tietze’s syndrome is considerably less common than costochondritis. Age: Tietze’s syndrome usually ..., Costochondritis (kos-tuh-kon-DRY-tis) is a painful swelling of the cartilage that attaches the ribs to the breastbone (sternum). It's one of the most common causes of chest pain in kids and teens, and happens more often in girls than boys. Costochondritis — also called chest wall pain or costosternal syndrome — can cause a sharp, stabbing pain., She had a normal ECG and troponin T. A costochondritis diagnosis was made after ruling out other potential explanations. Months later, the patient became aware of an odd lump above her left breast associated with weight loss, fatigue, and shortness of breath. On examination, faint bilateral areolar scars were seen, but the breasts looked ...