Known right breast cancer. Right axillary fullness on clinical exam. Also, left breast focal asymmetry for which ultrasound is requested. A targeted bilateral ultrasound was performed. The known malignancy at the right breast 4:00 position measures 3.6 x 2.9 x 2.8 cm. In the right axilla, several small lymph nodes with retained fatty hila and predominantly hilar blood flow are seen. In the left breast 3:00 position no suspicious cystic or solid mass was seen. Additional scanning above and below the 3:00 position also did not reveal any abnormality.
1. Known right breast malignancy with current measurements as above, which are similar to outside hospital measurements.2. No sonographically suspicious right axillary lymph nodes.3. No correlate for the focal asymmetry in the left breast. Six-month follow-up is recommended.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.