The large invasive ductal carcinoma of the right breast was not clinically palpable due to the size of the patient's breasts. The skin biopsy of the left breast confirmed an inflammatory carcinoma left breast.

The nodes in the left axilla were pathological and confirmed metastatic malignant cells. 

The increased isotope uptake in the left breast is a coincidental finding related to the diagnosis of an inflammatory carcinoma. 

The microcalcifications in the left breast were highly suggestive of DCIS but histology is not yet available.