26-year-old female with a history of biopsy-proven fibroadenomas in the right breast and a new palpable mass at the 10:00 position left breast. A targeted bilateral breast ultrasound was performed for the areas of palpable and clinical concern. On physical examination, the patient has multiple palpable masses in the right breast. A palpable mass at the 12:00 position in the left breast and a new 2 cm palpable mass at the 10:00 position in the left breast.There are bilateral breast masses all which are hypoechoic with parallel orientation and circumscribed margins suggestive of fibroadenomas. On the right:1. 12 o'clock, 3 cm from the nipple, measuring 1.1 x 0.6 x 1.3, unchanged.2. 4 o'clock, 3 cm from the nipple, measuring 1.0 x 0.3 x 1.6 cm (previously 1.0 x 0.7 x 1.6 cm).3. 8 o'clock, 3 cm from the nipple, measuring 0.6 x 0.2 x 0.6 (previously 0.6 x 0.3 x 0.8 cm).4. 9 o'clock, 4 cm from the nipple, measuring 1.1 x 0.4 x 1.0 cm, unchanged.5. 10 o'clock, 4 cm from the nipple, measuring 1.4 x 0.9 x 1.4 cm (previously 1.4 x 1.1 x 1.5 cm) containing a percutaneously placed clip.6. 10 o'clock 3 cm from the nipple, 0.8 x 0.3 x 0.6 cm (previously 1.1 x 0.5 x 1.2 cm).On the left:1. 12 o'clock, 5 cm from the nipple, measuring 1.0 x 0.4 x 0.9 (previously 1.1 x 0.5 x 1.3 cm).2. The newly palpable mass at 10 o'clock, 5 cm from the nipple, measuring 2.2 x 0.9 x 2.4 cm; this mass has some internal vascularity.3. There is an additional similar mass at 4:00 measuring 1.5 x 1.5 cm.
Multiple bilateral masses as described above, compatible with fibroadenomas. The patient will be seen by Dr. Barrera in breast surgery clinic today for clinical management of her multiple breast masses.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.