68-year-old female with history of right mastectomy for IDC 22 years ago followed by left prophylactic mastectomy in 2010 with a reconstruction presents with right lateral chest wall pain for one month. Area has been marked by Joly Jose for targeted ultrasound. A targeted right lower axilla ultrasound was performed for the patient’s area of concern. On physical examination, a 1 cm ridge of mobile tissue is noted in the lower axillary region. A parallel oriented possibly encapsulated mixed echogenic hypoechoic mass is noted corresponding to the marked area measuring 2.9 x 0.7 x 2.6 cm, most likely representing a fibroadenolipoma or area of fat necrosis. No suspicious solid mass noted.
Area of concern in the right lower axillary region most likely corresponds to a benign fibroadenolipoma or areas of fat necrosis. Findings conveyed to Joly Jose at the time of dictation. FNA will be performed for confirmation.BIRADS: 3 - Probably benign finding.RECOMMENDATION: C - Clinical Correlation Needed.