27 year old pregnant patient with 2 cm mass palpated by her obstetrician. The patient reported initially that she does not know where the lump is but also stated later that lump has been there for years. Patient reports physician palpated mass was located in the right upper outer quadrant. A targeted right ultrasound was performed for the palpable area of concern. In the 10 o'clock position 4 cm from the nipple there is an oval circumscribed parallel oriented hypoechoic heterogeneous mass with mild internal vascularity. This mass measures 7 x 4 x 6 mm.
Benign morphology mass in the right 10 o'clock position likely represents a fibroadenoma. Recommend short term 6 month sonographic follow up to confirm stability. It is also recommended that this result is carefully correlated with physical exam findings as there was difficulty obtaining history from this patient, a specific palpable area of concern from physical exam could not be found in the electronic chart and the referring physician could not be contacted via pager. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).