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This case report summarizes a case of invasive ductal carcinoma diagnosed through sonography. A 26-year-old African American female presented with a palpable mass in her right breast. Sonography revealed an irregular, hypoechoic mass with microlobulations, posterior shadowing, and vascularity, consistent with malignancy. Biopsy confirmed invasive ductal carcinoma and involvement of an abnormal lymph node. While uncommon in young African American women, the findings were otherwise consistent with description

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