24-year-old female with a right breast palpable mass who presents for sonographic evaluation. On physical examination, there is a palpable, nontender, mobile mass in the right breast at approximately 11:00 position, 4 cm from the nipple.A targeted right ultrasound was performed for the palpable area of concern. There is a hypoechoic circumscribed mass measuring 3.5 x 1.9 x 3.7 cm with mildly increased vascularity and parallel orientation in the right breast at 11:00 position, 4 cm from the nipple.
Large hypoechoic mass at 11:00 position in the right breast as detailed above. Finding may represent a fibroadenoma; however, based on the large size, surgical consultation is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.