38-year-old woman with no family history of breast cancer presents with clear, spontaneous right nipple discharge. Ultrasound (A, antiradial) performed in the subareolar region at 4–5 o’clock showed several dilated ducts with solid hypoechoic masses vs. debris. Color Doppler (B, radial view) shows increased vascularity surrounding the duct (arrows). The finding was assessed as BI-RADS-4 – suspicious. Biopsy demonstrated duct ectasia.