23yrs old female presented with swelling in left breast SOB, left side chest pain, pain abdomen with left hip pain, xray revealed massive effusion, therapeutic tap was done, SOB resolved, pleural fluid revealed lymphocytic predominance with ADA 70,ATT was started, FNAC report was due, later CT abdomen and chest revealed metastasis with mets in left hip joint.

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    Dr. Deependra

    Ductal carcinoma

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