Right breast invasive carcinoma and contralateral left axillary abscess representing a rare dual pathology

A 53-year-old woman arrived with bilateral breast enlargements and a left axillary mass. The MRI indicated a concerning lesion in the right breast and a collection in the left axilla. FNAC verified aggressive cancer of the right breast and a tuberculous abscess in the left axilla, with CBNAAT identifying Mycobacterium tuberculosis DNA. The patient commenced anti-tubercular medication and underwent surgical removal of the right breast lesion, confirming Grade 3 invasive carcinoma of no special type (NST). This case underscores the necessity of matching imaging with histopathology to distinguish cancer from infectious diseases, hence assuring precise diagnosis and therapy.