26-year-old woman presents for further evaluation of a bumpy area in the left upper-outer quadrant breast. Patient said she first noticed this 2 months ago and that it has smaller in size since then. On physical exam, there is focal discoloration of the skin in the upper outer quadrant at the site of patient's concern.A targeted gray scale and color Doppler left ultrasound was performed for the patient’s area of concern. In the left breast 1:00 position 4 cm from the nipple, within the epidermis, there is a mixed echogenicity lesion measuring 1.7 x 0.1 x 0.9 cm, consistent with an epidermal inclusion cyst. No internal vascularity is appreciated. No suspicious solid or cystic masses are identified in the breast parenchyma deep to this lesion.
Left breast 1:00 position epidermal inclusion cyst, correlating to the area of clinical concern. No sonographic evidence for malignancy. Clinical follow-up is recommended. Results and recommendations were discussed with the patient at the time of exam.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.