Ms. Anderson is a 71 year old female with a personal history of right breast DCIS/IDC status post mastectomy in 2005 with adjuvant Arimidex therapy. She had a recent US-guided biopsy of right axillary mass on 5/28/2015 complicated by hematoma formation. Upon physical exam of the right axillary region, there is overlying skin discoloration and minor swelling. However, the area is soft and tender.Targeted right axillary ultrasound was performed of this area. The previously identified hematoma in the right axillary region now measures 3.6 x 2.3 x 1.5 cm, compared to 5.4 x 3.1 x 5.4 cm. There is overlying skin thickening and parenchymal edema.
Decreasing size of venous hematoma in the right axillary region. Patient is scheduled for a duplex ultrasound for formal evaluation of the axillary artery and vein after this appointment. She will also get a repeat H&H to ensure stability of her hemoglobin levels. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.