Ms. Kompare is a 67 year old female with a personal history of bilateral mastectomies with reconstruction in 1994 treated with tamoxifen therapy. Patient also has a history of excision of right shoulder melanoma with sentinel lymph node biopsy performed in July 2011. She now presents with a palpable lump in the right axilla since July 2016. A targeted right breast ultrasound was performed for the patient's area of concern.In the right axilla, at site of palpable area of concern, there is a reniform shaped hypoechoic mass identified measuring 0.7 x 0.3 x 0.6 cm. Sonographic findings are compatible with a normal axillary lymph node.
Normal axillary lymph node at site of palpable concern in the right axilla. No sonographic evidence of malignancy. Patient should follow up with her breast surgeon as clinically warranted. All results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.