A 42-Year-Old Woman Undergoing a Renal Transplant Evaluation

Heather Kesler DeVore, MD; Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR, LRCP; Sirhan Alvi, MBChB, MRCS(Ed), MRCS(Glasg)

Disclosures

May 12, 2016

Editor's Note:
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Background

A 42-year-old Nigerian woman, born and raised in West Africa, recently moved to Manchester, United Kingdom, where she is to undergo a routine but extensive evaluation for a renal transplant. The patient has a history of end-stage renal disease secondary to chronic glomerulonephritis. She is currently on hemodialysis but otherwise has no other active medical conditions. At the request of her nephrologist, she has presented to an outpatient breast clinic to receive a baseline examination and screening mammography.

On a review of systems focused on the imaging study to be performed, the patient denies having any weight loss, night sweats, or fevers. Additionally, she denies any tenderness in her breasts, nipple discharge, noticeable breast lumps, or other complaints related to her breasts. Her social history is significant for her previous work as a nurse in Nigeria, where she often treated people in small villages and on farms.

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