Ms. Johnson is a 48 year old female with a personal history of right breast mastectomy with implant-based reconstruction in 03/2014 for IDC/DCIS. She presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for the left breast and images were reviewed on an independent workstation. In the left inferior breast, there is a lobulated hypoechoic mass identified measuring approximately 0.8 x 0.4 cm. Left breast implant partially visualized.
Incompletely characterized 0.8 cm mass in the left inferior breast. Additional imaging, including spot compression views and dedicated ultrasound, are recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.