29-year-old female. Metastatic brain mass and mediastinal/retroperitoneal/pelvic lymphadenopathy. Evaluate for a primary breast malignancy. A nodular enhancing focus was seen in the right inferior breast on recent MRI. A whole bilateral breast ultrasound was performed. In the right inferior breast at the 5 o'clock position 7 cm from the nipple, there is a hypoechoic solid mass with internal vascularity, suspicious for malignancy. It measures 1.3 x 1.3 x 1.5 cm. No solid or cystic mass is identified in the left breast.
Right breast hypoechoic solid mass, suspicious for malignancy and for which ultrasound guided percutaneous biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.