17-year-old woman presents with palpable mass left breast upper outer quadrant. On physical exam, there is a palpable nontender mobile mass in the left breast upper-outer quadrant.A targeted left ultrasound was performed for the palpable area of concern. Corresponding to palpable abnormality in the left breast 2:00 position 4 cm from nipple, there is a 39 x 18 x 36 mm (CC x AP x TV) circumscribed hypoechoic mass with macrolobulated margins and internal vascularity. This is likely a fibroadenoma, however given size, FNA or percutaneous biopsy is recommended for further evaluation.
Palpable mass left breast corresponds to a 39 x 18 x 36 mm mass, likely a fibroadenoma. Given it's size, surgical consultation for consideration of palpably guided FNA or percutaneous biopsy is recommended for further evaluation. Findings and recommendations were discussed with the patient at the time of the exam.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.