Ms. Peterson is a 27 year old female presenting with bilateral nontender palpable masses for the past 2 years. Bilateral targeted ultrasound was performed for the patient's palpable areas of concern.In the right breast 10:00 location, approximately 3 cm from the nipple, no suspicious cystic or solid mass is identified.In the left breast 7:00 location, approximately 3 cm from the nipple, no suspicious cystic or solid mass is identified.In the left breast 2:00 location, approximately 3 cm from the nipple, no suspicious cystic or solid mass is identified.
No sonographic evidence of malignancy. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, starting at the age of 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. 