19-year-old female with history of right breast palpable lump, with history of bilateral benign morphology masses, one of which revealed fibroadenoma on prior FNA. Patient presenting for follow-up evaluation of both breast masses to ensure stability. A new area of palpable concern indicated by patient's physician is located in the lower inner right breast. On physical examination, a mobile smooth surfaced palpable lump is identified in the right upper outer breast, and left upper breast, in patient's palpable area of concern.Targeted ultrasound of the right breast, 10:00 position 5 cm from the nipple, reveals a 1.4 x 0.8 x 1.4 cm oval parallel hypoechoic mass with posterior acoustic enhancement and mild internal vascularity. Findings are stable in size and appearance and compatible with fibroadenoma.Targeted ultrasound of the right breast, 8:00 position 3 cm from the nipple, patient's physician area of concern. There is no underlying cystic or solid mass.Targeted ultrasound of the left breast at the 12:00 position 5 cm from the nipple, redemonstrates a 2.0 x 1.4 x 1.4 cm gently lobulated circumscribed hypoechoic avascular mass, FNA proven fibroadenoma. This mass also appears stable in size.
Stable bilateral benign morphology masses bilaterally, the left mass corresponding to FNA proven fibroadenoma. No sonographic correlate at new area of concern indicated by patient's physician in the right breast. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings.  BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.