CC and MLO tomosynthesis views of the left breast show a dilated tubular structure superficially in the upper outer quadrant.
WHY IT MATTERS:
Mondor’s Disease is a unique, relatively unknown condition of the breast that is actually not that uncommon. It is a superficial thrombophlebitis of the breast. It usually affects a superficial blood vessel in the upper outer quadrant of the breast.
Patients typically present with a “cord-like” thickening that is very painful.
There may not be any imaging findings (but you can diagnose it based on the symptoms and a breast exam) or there may be an engorged vessel superficially that you may see on mammography or ultrasound in the area of concern.
Mondor’s is a self-limited condition. Offer the patient reassurance that it usually resolves in 6 – 8 weeks. Non-steroidal anti-inflammatory medications can help with pain relief.