63-year-old female with a known history of left breast IDC. Presents for evaluation of known left breast masses. A targeted left breast ultrasound was performed for the patient's known left breast masses. Again seen are 2 reference masses in the left breast at the 4:00 position approximately 5 cm from the nipple. The medial mass measures 1.8 x 1.1 x 1.5 cm (TR x AP x CC), previously 1.3 x 1.1 (TR x CC), increased in size. This mass appears more confluent with the second reference left breast mass which is situated immediately lateral to the dominant mass and now measures approximately 1.3 x 1.0 x 1.2 cm (TR x AP x CC), previously 1.0 x 1.1 cm (TR x CC), increased in size. There is associated increased vascularity within both masses on Doppler interrogation.
Interval increase in size of the patient's reference left breast masses consistent with the patient's known history of IDC with reference measurements provided above. Consultation in the breast surgery clinic is recommended. These findings and recommendation were discussed directly with the patient. The patient reports she has already been seen in the breast surgery clinic and is opting for alternative therapy.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.