Ms. ELAINE MCKENNEY is a 62 years old female with a personal history of right lumpectomy in June 2014 for IDC. She also has history of benign biopsy in March 2014 at outside hospital. She presents today with intermediate palpable concern in the left breast, same area as found one month ago. In the left breast upper inner quadrant, approximately 10:00 location, there is ink marker to indicate the palpable concern by the surgical clinic staff. Patient's palpable area of concern is slightly inferior to the ink marker at approximately 9:00 position.A targeted left ultrasound was performed at areas of palpable concern. Normal breast tissues are noted in both 10:00 and 9:00 location, 2 cm from the nipple. There is no solid or cystic mass to correspond to the palpable concerns.
No sonographic findings to account for patient's palpable concern. Routine annual diagnostic mammograms are recommended, due in March 2016. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram.