18-year-old female with waxing and waning palpable lump in the right axilla. The patient is able to identify the lump at this time, but indicates that it is much less conspicuous than it was last night or in the past. Family history of premenopausal breast cancer in the patient's mother. A targeted right axillary ultrasound was performed for the palpable area of concern. On physical examination, a focal area of thickening can be appreciated at the site indicated by the patient. There is no solid or cystic mass identified. There is some tissue in this area that has a questionable sonographic appearance of accessory breast tissue. The finding is not definite. No lymph nodes are identified in the area (normal, abnormal, or otherwise).
No sonographic evidence for malignancy. No definite finding to explain the patient's area of palpable concern. Continued clinical management is recommended for the patient's area of palpable concern. Further evaluation, including biopsy, should not be delayed by negative imaging. Rather, negative imaging may serve to reinforce a negative clinical impression. The results and recommendations were discussed with the patient at the completion of the exam.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.