48-year-old with MRI guided biopsy performed or earlier this year. The patient had episodes of bilateral axillary pain and left breast pain for which targeted ultrasound is performed. A targeted bilateral ultrasound was performed for her areas of episodic pain. There is no solid or cystic mass identified. Lymph nodes in each axilla are present, symmetric in size and morphology. These maintain normal fatty hila and hilar predominant blood flow. This includes the largest left axillary lymph node which measures up to 2.1 cm and appears more normal in morphology today compared to the prior ultrasound. At the left breast 12:00 location site of previous pain, no suspicious cystic or solid mass is identified.
No suspicious findings at the sites of the patient's pain. Symmetric lymph nodes nodes are present in each axilla. Presuming these findings are concordant with physical examination, routine imaging follow-up appropriate for her risk profile is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.