36-year-old with palpable right breast mass for the last several weeks. A targeted right ultrasound was performed for the palpable area of concern. There is a mixed echogenicity but predominately hypoechoic mass at the right breast 10:00 position measuring 0.9 x 0.9 cm. Peripheral vascularity is noted.
9 mm right breast mass. At this point, bilateral diagnostic mammography and referral to a breast surgeon for consideration of palpably guided sampling are recommended. The patient declined mammography today despite extensive discussions regarding its potential benefits for her. The patient voiced understanding that mammography may detect breast cancer that is not seen on ultrasound in this setting.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.