Ms. Caillouet is a 26-year-old female with presenting with right accessory nipple bleeding x 1 week. Physical examination of the right breast demonstrated an accessory nipple/growth from the right nipple. The tissue appeared erythematous and friable, with diffuse bleeding.A targeted right ultrasound was performed for the area of concern. There is no solid or cystic mass identified.
Friable appearance and diffuse bleeding and erythema from patient's right accessory nipple. No definite sonographic evidence for malignancy.Patient was instructed to follow-up with breast surgery. An appointment was scheduled for the patient on 05/31/15 at 8:00 AM. All results and recommendations were discussed with the patient and Ivy Akpotu at time of dictation.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.