54 year-old woman with right breast cancer on chemotherapy. A targeted right ultrasound was performed for the multiple, palpable masses in the right breast and right axilla. At the two o'clock position 4 cm from the nipple, there is a 15 x 13 x 11 mm hypoechoic mass with irregular margins and increased vascularity, previously 15 x 14 x 11 mm.At the 10 o'clock position 5 cm from the nipple there is a 24 x 20 x 9 mm hypoechoic mass with irregular margins and mildly increased vascularity, previously 24 x 18 x 9 mm.An enlarged right axillary lymph node with increased cortical flow is seen and measures 18 x 13 x 6 mm, previously 23 mm in largest dimension.
1. Unchanged appearance and size of the right breast masses at the 2 o'clock and 10 o'clock position.2. Minimal decrease in size of right axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.