Ms. Chavez is a 39-year-old female with known left breast malignancy and biopsy-proven left axillary lymph node. She presents today for ultrasound reevaluation of left axillary lymph node. A targeted left axillary ultrasound was performed. A total of 3 lymph nodes are identified in the left axilla. The lymph node labeled #1 is the most superficial of the 3 and probably represents the previously biopsied lymph node based on depth of this node when compared to original ultrasound exam from 09/2015. Lymph node #1 measures approximately 1.1 x 0.5 x 0.9 cm. No biopsy clip is identified in this lymph node.Lymph node #2 measures 1.2 x 0.6 cm and is identified just inferiorly. Lymph node #3 measures 0.6 x 0.4 cm and is seen medially.
Total of three left axillary lymph nodes identified. The first one (labelled lymph node #1) is probably the previously biopsied lymph node. No biopsy clip is present in this node. Ultrasound-guided needle localization of this node could be considered if clinically indicated.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.