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Close discussion with clinicians and awareness of these imaging pitfalls will enable the radiologist to assess patients with a history of breast cancer with a high index of suspicion. Evaluating patients with metastatic breast cancer in the abdomen is challenging. Due to its infiltrative pattern of spread, imaging findings could be subtle and easily missed until the disease is extensive.The radiologist plays an integral role in examining patients with breast cancer, not only in the detection of the primary lesion but also in the identification of metastatic disease and evaluation of treatment response. With the advent of multiple chemotherapeutic and hormonal agents for the treatment of patients with metastatic breast carcinoma, recognition of metastatic disease and its potential complications has become increasingly important. Moreover, as the number of breast cancer survivors increases, the appearance of unusual metastatic patterns is increasing.

The current study concluded that:• Ultrasound had high sensitivity and moderate diagnostic accuracy in evaluating abdominal wall masses. • Ultrasound may limit the patient's exposure to invasive biopsies and to the hazardous exposure to ionizing radiation and contrast media administration like that in the CT examination.