27 year-old history of biopsy-proven right breast fibroadenoma presents for follow-up of the right breast mass and for evaluation of tenderness in left breast. On physical exam, there is a small palpable mass in the right breast upper outer quadrant there is a 10:00 position. No palpable or visible abnormality in the left breast.RIGHT BREAST ULTRASOUND: A targeted right ultrasound was performed for the palpable area of concern. In the right breast 10:00 3 cm from nipple at the site of palpable abnormality there is a lobulated hyperechoic mass with biopsy clip seen centrally measuring 5 x 3 x 7 mm (previously measured 5 x 3 x 8 mm) consistent with biopsy-proven fibroadenoma. Also in the 10:00 position 3 cm in 3 cm from nipple there is a 5 x 3 x 7 mm cyst. In the 9:00 position 5 cm from nipple there is an 8 x 3 mm benign intramammary lymph node. No suspicious masses.LEFT BREAST ULTRASOUND:Targeted left breast ultrasound was performed in the 3:00 position 3 cm from nipple at the site of patient's reported pain and tenderness. Unremarkable dense fibroglandular tissue is seen. No suspicious masses.
No change in size of biopsy-proven right breast fibroadenoma measuring 5 x 3 x 7 mm. Right breast cyst and benign intramammary lymph node.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.