Ultrasound-guided breast abscess aspiration in a difficult case

Although ultrasound guidance is occasionally used for abscess detection and aspiration by our radiology colleagues, this is still a very uncommon appl ication in the emergency department (ED). A case is presented of a patient with a difficult-to-drain, recurrent breast abscess. The consulting surgeon was unable to localize the abscess after 15 attempts at aspiration in the ED and requested ultrasound guidance from the attending emergency physician for the procedure. Drainage of the abscess was successfully completed in o ne attempt with real-time visualization and guidance of the needle. The con sulting surgeon requested that ultrasound be available at the patient's fol low-up visit to the ED.