Ms. Warren is a 64-year-old woman with known biopsy proven left breast cancer on hormonal therapy presents for follow-up. On physical exam, there is a palpable hard mass in the left breast centered at the 12:00 position, compatible with known cancer.A targeted left breast ultrasound was performed for the palpable area of concern. In the 12:00 position, 1 cm from nipple, there is a 4.3 x 1.6 x 3.6 cm hypoechoic to isoechoic mass consistent with the known malignancy, previously measuring 3.4 x 1.5 x 3.1 cm. There does not seem to be any significant change in size of this mass, accounting for differences in image acquisition (panoramic views) and technique.
No significant change in size of biopsy-proven cancer in the left breast. Continued surgical management is recommended. The results and recommendations were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.