Ms. Rich is a 20-year-old female with palpable masses in the left upper outer breast presenting for follow-up ultrasound evaluation. History of right breast fibroadenoma status post excision. Family history of breast cancer in maternal grandmother diagnosed at 62 years of age. On physical examination, two palpable firm mobile masses were identified in the left upper outer breast.A targeted left ultrasound was performed for the palpable area of concern. In the left breast 2:00 position 5 cm on the nipple there are 2 hypoechoic masses as seen on the prior study with measurements provided below:The larger mass is lobular in shape with circumscribed margins measuring 2.1 cm x 1.2 cm x 2.0 cm, previously 2.0 cm x 1.0 cm x 1.6 cm. There is internal flow on Doppler imaging.The smaller mass is lobular in shape with circumscribed margins measuring 0.9 cm x 0.5 cm x 1.0 cm, previously 0.9 cm x 0.5 cm x 1.0 cm. There is internal flow Doppler imaging.
Stable to minimal increase in size of two presumed fibroadenomas of the left breast. Recommend follow-up with breast surgery as clinically warranted. All results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: C - Clinical Correlation Needed.