Ms. Tomasi is a 21 year old female presenting with a palpable abnormality in the right breast for the past one week. Upon physical exam at the palpable area of concern, a soft, mobile mass is appreciated in the right upper inner breast.A targeted right breast ultrasound was performed for the palpable area of concern. In the right breast two o'clock location (approximately 3 cm from the nipple), there is an ovoid, hypoechoic solid mass measuring 1.9 x 0.6 x 1.5 cm. There is minimal amount of associated vascularity.In addition, just adjacent to the solid mass is a small anechoic lesion measuring 0.7 cm, compatible with a simple cyst.
Sonographic findings likely represent a fibroadenoma. However, given the palpability, a surgical consultation is recommended at this time. All results and recommendations were relayed to the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.