A 51 year old woman came with complaints of dyspnea on exertion since one month. On examination, she had a hard lump in the left breast that was fixed to the chest wall.
The frontal chest radiograph shows obliteration of the left CP angle and obscuration of the left heart border and the left dome of the diaphragm. The mediastinum is shifted to the right. The CECT chest shows a large pleural effusion on the left. There is an ill-defined isodense lesion in the left breast. The left breast, pectoralis major and minor muscles are bulky. There is nodular thickening of the adjacent pleura. The left adrenal gland is bulky.