Ms. Bishop is a 15 year old female presenting follow-up of left breast mass, likely fibroadenoma. She denies overlying skin changes and nipple discharge. Family history of breast cancer in maternal grandmother. A targeted left ultrasound was performed. In the left breast 10:00 location, approximately 4 cm from the nipple there is redemonstration of a lobulated hypoechoic mass measuring 1.6 x 0.5 x 1.7 cm, previously 2.4 x 1.2 x 2.2 cm . There is mild associated vascularity.
1.7 cm lobulated mass in the left upper inner breast, likely representing a fibroadenoma, decreased in size from previous exam. Given patient's age and palpability of mass, a surgical consultation is recommended for further evaluation. All results and recommendations were discussed with the patient and her mother. Findings also discussed with patient's breast surgeon, Dr. Bao. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.