Breast carcinoma

45 year old female presented with a painless palpable left breast lump. On examination, the lump is hard in consistency and fixed to posterior structures.
Ultrasound showed a large 4.5cm solid mass with ill-defined and irregular margins, located at 12 o’clock, directly adjacent to the nipple.  Spiculation and angular margin are seen. Posterior shadowing present. Intralesional vascularity detected.
Findings are consistent with BIRADS 5 solid lesion and strongly suggestive of breast carcinoma.