Dear Molly, to my way of thinking a plugged duct will resolve with the
usual treatment in approximately 24 hours. If it does not it is likely a
mastitis and needs to be referred back to a primary provider. Ultrasound is
certainly one way to obtain a diagnosis. I also recommend a clean catch no
culture especially when things are occurring in the same spot. Inflammatory
breast cancer cannot be ruled out either at this point in my opinion.
Laurie Wheeler RN MN IBCLC
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