23-year-old female with palpable lump in the left breast for 3 months presents for evaluation. Family history of breast cancer in her maternal grandmother, great grandmother and great grandfather. A targeted left ultrasound was performed for the patient’s area of concern. On physical examination, a 2 cm mobile nontender mass is palpated in the left breast 3:00 position. Ultrasound demonstrates an oval parallel oriented mixed echogenic mass that measures 2.6 x 1.5 x 1.9 cm with peripheral blood flow.
Palpable abnormality in the left breast 3:00 position most likely represents a benign fibroadenoma however surgical consultation with a possible fine-needle aspiration for confirmation is recommended.Patient is scheduled for a breast augmentation surgery next week and also plans to travel for the next couple of months. She will attempt to get a surgical consult with possible FNA before the augmentation.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.