An 83-year-old woman presented with palpable left axillary adenopathy 30 years after left mastectomy for DCIS. She underwent left axillary lymph node dissection at which time 3/10 nodes contained ER/PR negative breast cancer. She underwent axillary radiation and chemotherapy. Three years later she presented with increasing firmness of the axillary scar tissue and the onset of arm lymphedema. FNA revealed recurrent breast cancer. The patient underwent FDG-PET/CT scan (see discussion) as part of the metastatic work-up. The axillary disease lit up as expected.