Ms. Li is a 22 year old female with a personal history of right breast lumpectomy in 2015 for a borderline phyllodes tumor/ADH/FEA. She now presents with an interval increase in size and tenderness of known left breast mass. Upon physical exam of the left upper outer breast, there is a superficially located mobile mass.A targeted left breast ultrasound was performed for the palpable area of concern. In the left breast 1:00 location, approximately 3 cm from the nipple, there is revisualization of a macrolobulated hypoechoic mass now measuring 1.6 x 0.9 x 1.5 cm, previously measuring 1.3 x 0.9 x 1.2 cm. There is minimal associated vascularity.
Interval increase in palpable mass of the left upper outer breast. A consultation with a breast surgeon is recommended for further evaluation. All results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.