61-year-old female status post left needle localization for left breast lumpectomy in January 2016 (left sentinel lymph node biopsy not performed as patient's original path showed diagnosis of DCIS), assess left axilla for nodal involvement A targeted left axillary ultrasound was performed. 3 adjacent lymph nodes are identified out of which the middle lymph node appears abnormal in morphology with thickened cortex and nonhilar blood flow, which measures 1.3 x 0.8 x 1.2 cm. The other 2 lymph nodes demonstrate normal morphology.
Abnormal left axillary lymph node, ultrasound-guided core biopsy can be performed.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.