71-year-old female with a history of left mastectomy 20 years ago and biopsy proven right breast cancer presents from surgery clinic with possible right axillary lymph node. A targeted right axillary ultrasound was performed for the palpable area of concern. There is an elongated lymph node in the right axilla measuring 4.1 x 1.2 x 2.8 cm within the eccentrically thickened cortex measuring 8 mm in thickness with eccentric vascularity. A second lymph node with benign morphology was also seen measuring 1.4 x 0.9 x 1.4 cm.
Right axillary lymph node with eccentrically thickened cortex. Ultrasound guided biopsy can be performed if desired.Please submit prior mammograms and ultrasound for comparison.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.