Breast tissues are heterogeneously dense bilaterally without any mammographically demonstrable mass lesion, architectural distortion or suspicious microcalcification. USG correlation reveals irregular hypoechoic areas with small debris filled necrotic components involving lower inner and lower outer quadrants of left breast with prominent debris filled ducts - likely to be inflammatory lesion (? Granulomatous infection). However further evaluation is suggested to rule out inflammatory carcinoma. (BIRADS category - IV)