72-year-old woman presents for call back for left axillary lymph node larger in comparison to prior exams. Targeted grayscale sonography of the left axilla demonstrates a well circumscribed enlarged lymph node with loss of normal fatty hilum, measuring approximately 3.0 x 1.1 x 2.1 cm. Color Doppler shows internal vascularity. Further evaluation is recommended with an ultrasound guided core biopsy. A few normal size lymph nodes with fatty hilum and smooth cortex are also seen in the axilla.
3.0 x 1.1 x 2.1 cm abnormal left axillary lymph node, indeterminate. Ultrasound-guided core biopsy is recommended for further evaluation. Findings and recommendations were discussed with the patient at the time of examination. She takes aspirin and should be off of that medication for 5 days before the biopsy is done. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.