Ms. McCauley is a 52 year old female with known left breast cancer. Dr. Jaskowiak palpated a left axillary lymph node. She presents today for ultrasound evaluation of this area. Targeted left axillary ultrasound was performed. In the left axilla, there is an enlarged lymph node identified, measuring 1.7 x 0.8. In addition, there is abnormal non-hilar vascular flow seen in this lymph node.
Abnormal left axillary lymph node. An US-guided biopsy with clip placement should be performed for further evaluation. All results and recommendations were relayed to Dr. Jaskowiak and the patient. The patient will undergo an US-guided biopsy of this abnormal left axillary lymph node later today. She does not take any blood thinning medications.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.