Ms. Macklin is a 28 year old female with a known history of multicentric right breast cancer and metastatic right axillary lymph node. She is currently undergoing neoadjuvant chemotherapy and presents for ultrasound evaluation to assess for treatment response in the known metastatic right axillary lymph node. Targeted right axillary ultrasound was performed.The known metastatic right axillary lymph node with centrally located biopsy marker clip measures 1.4 x 0.4 x 1.3 cm, previously measuring 1.5 x 0.6 cm.In addition to the biopsied right axillary lymph node there are two additional abnormal morphology lymph nodes identified, the largest one of which measures approximately 1.7 x 0.8 x 1.6 cm.
No significant change in size of known metastatic right axillary lymph node with centrally located biopsy marker clip. Patient should continue to follow up with her breast surgeon as clinically warranted. All results and recommendations were discussed with the patient and her mother.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. 