56-year-old female with history of left mastectomy and left breast reconstruction. Now feels palpable lumps in left medial and inferior breast. A targeted left breast ultrasound was performed for the palpable areas of concern. At the 9:00 position, there are 2 circumscribed lesions without internal blood flow. The larger predominantly anechoic lesion measures 1.7 x 1.1 x 2.2 cm, and the smaller mixed echogenicity lesion measures 0.6 x 1.1 x 1.2 cm. Findings are compatible with fat necrosis/oil cyst formation.At the 6:00 position, there is skin thickening measuring 7 mm. No solid or cystic mass is identified.
Fat necrosis/oil cyst formation and skin thickening in the left breast. Surgical follow-up is recommended to direct subsequent management and the patient will see Donna Christian today. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.