23-year-old with small palpable mobile mass in the right breast near the axillary region. Strong family history of breast cancer. A targeted right ultrasound was performed for the patient’s area of concern near the right axilla. There is an oval superficially located mass which is centrally echogenic and peripheral hypoechoic and very mild blood flow measuring 9 x 9 mm.
Benign morphology mass of the site of palpable concern is highly likely to be benign. Differential considerations include a small lymph node, lipoma or possibly fat necrosis. Given the highly likely benign appearance, a short term ultrasound follow-up in 3 to 6 months is recommended to ensure stability. However, if the area changes before then, intervention sooner would be warranted.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).