Extensively abnormal exam.
Large, partially calcified soft tissue mass in the left breast with decreased size of the left breast when compared to the right. Extensive skin thickening overlying the left chest with infiltration of the chest wall, pectoralis, axillary (latissimus dorsi) musculature. Nodular skin thickening along the left flank and posterior subcutaneous tissues. Right axillary adenopathy with skin thickening throughout the right breast.
Large left pleural effusion with pleural and pulmonary metastatic disease. Mediastinal and hilar adenopathy with right lung metastasis.
A few hepatic lesions are partially imaged in segment IVb.