25-year-old female presents with a three day history of a breast lump in the 11:00 position. No known trauma history, no additional symptoms. A targeted left breast ultrasound was performed in the area of the patient's palpable concern. At the 11:00 position 5 cm from the nipple near the area of palpable concern is a circumscribed predominantly hyperechoic mixed echogenicity lesion measuring 1.5 x 2.0 x 0.8 cm, most likely representing either fat necrosis or a hematoma.
Mixed echogenicity lesion in the area of palpable concern is consistent with either fat necrosis or hematoma. A three month follow-up examination is recommended to confirm stability or resolution.These findings were discussed with the patient and Dr. Checkett at the time of this dictation. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).