Case Presentation: This patient was a 44-year-old female with a past medical history of localized scleroderma (morphea) of the breast diagnosed by punch biopsy. She presented to the emergency department with right upper quadrant pain and nausea. At that time, a CT scan showed a heterogeneous liver without a definitive underlying mass. Her workup revealed [...]

Case Presentation: A 70-year-old female with a history of lobular carcinoma of the breast, status-post mastectomy followed by adjuvant radio-chemotherapy in remission for 4 years admitted with a complaint of right upper quadrant pain and jaundice. Examination was positive for icteric sclera and ascites. Her hemoglobin was 8.8 gm/dL; mean corpuscular volume of 90.5 fL; [...]

Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. [...]

Case Presentation: 60 year old female who presented with generalized abdominal pain and distension. Associated featured included unintentional weight loss of 20 lbs, fatigue, nausea, vomiting. She denied melena, hematochezia, diarrhea or pelvic bleeding. Her past medical history was significant for Estrogen Receptor (ER) positive, Progesterone Receptor (PR) positive, human epidermal factor 2 (HER2) negative, [...]