82-year-old man with bloody right nipple discharge and a palpable breast lump. A: Diagnostic mammogram of the right breast with magnification view (B) reveals a high density irregular subareolar mass with indistinct margins and internal calcifications (arrows). C: Targeted ultrasound shows an irregular solid and cystic mass with calcifications (arrow), assessed as BI-RADS category 5 – highly suggestive of malignancy. Biopsy demonstrated invasive ductal carcinoma. Case courtesy of Tejas Mehta, M.D.