Breast Abscess Management

A 32-year-old lactating woman presents with a painful, fluctuant swelling in the upper outer quadrant of the right breast for 3 days. She has fever (38.5°C) and purulent discharge from the nipple. Ultrasound confirms a 4 cm fluid collection. She has been on oral antibiotics for 48 hours without improvement. What is the most appropriate next step in management?

A 28-year-old postpartum woman on day 14 of lactation presents with fever (38.5°C), erythema, and induration in the left breast. Ultrasound confirms a 3 cm loculated collection with internal echoes. Which of the following is the most appropriate next step in management?

A 26-year-old lactating woman presents with a 5-day history of localized breast pain, swelling, and warmth in the lower outer quadrant. Clinical examination reveals a tender, firm nodule with surrounding erythema. Ultrasound shows a 2 cm hypoechoic collection with internal echoes. Which of the following is the most appropriate next step in management?

A 30-year-old lactating woman presents with a 7-day history of breast pain, swelling, and fever (38.8°C). On examination, a tender, fluctuant mass (4 cm) is palpable in the upper outer quadrant of the left breast with overlying erythema and skin dimpling. Ultrasound confirms a hypoechoic collection with debris. She has been on oral antibiotics for 3 days without improvement. What is the most appropriate next step in management?