20-year-old female with history of clear cell sarcoma status post resection. Status post left lumpectomy for fibroadenoma in December 2010. Patient presents with palpable mass in the left breast. The area of the palpable abnormality was marked by the surgeon. A targeted left breast ultrasound was performed for the palpable area of concern. At the 12:00 position, 1 cm from the nipple, there is a circumscribed, wider than tall hypoechoic mass. This mass is difficult to measure due to large size, but measures at least 3.9 cm in greatest dimension.
A 3.9 cm mass in the left breast, corresponding to the area of palpable abnormality is probably a fibroadenoma, with other etiologies such as metastasis less likely. If needed clinically, it would be amenable to ultrasound guided biopsy. The patient has been seen by Dr. Jaskowiak today. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.