Image IQ: Palpable Lesion in a Prior Cancer Patient

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74-year-old presents with palpable lump in left breast, status post left lumpectomy for infiltrating ductal carcinoma with sequential radiation 16 years ago.

A 74-year-old patient presents with a palpable lump in the left breast. She is status post left lumpectomy for infiltrating ductal carcinoma with sequential radiation 16 years ago. A new 2 cm mass is seen within the left breast on mammography as well as on ultrasound. The patient proceeds to have a biopsy of the area. The patient also has a breast magnetic resonance imaging (MRI) to evaluate extent of disease. 

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What's your diagnosis?

Primary breast cancer
Fibroadenoma
Angiosarcoma
Phyllodes tumor
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