Ms.MINOO ZARNEGAR, 67 years old, submitted outside study for review. Images performed at St. Alexius Medical Center submitted for review: Right breast and right axillary ultrasound 1/7/2016.Images submitted for comparison:PET/CT scan 1/20/2016. THE RIGHT BREAST BREAST ULTRASOUND 1/7/2016 : Static ultrasound images are submitted for interpretation. At the 8:00 position, approximately 7 cm from the nipple there is a 1.3 x 0.6 x 1.9 cm mixed echogenicity, part solid part cystic mass with a slightly thickened echogenic rim, which extends to and partially involves the overlying skin. Two static images were also submitted from the axilla, where no abnormal lymph nodes are evident.PER OUTSIDE PATHOLOGY:A. right breast punch biopsy at the site of palpable abnormality, presumably also performed at the site of sonographic abnormality. - Invasive lobular carcinoma, pleomorphic type. Grade 2. ER and PR positive, HER-2 negative.
Mixed cystic and solid mass in the right breast, presumably corresponding to a punch biopsy revealing invasive lobular carcinoma.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.