84-year-old female with bilateral axillary lymphadenopathy presents for bilateral axillary ultrasound A targeted bilateral axillary ultrasound was performed. Multiple prominent right axillary lymph nodes noted, largest measuring 1.9 x 1.2 x 0.8 cm. An enlarged left axillary lymph node with abnormal morphology identified measuring 1.4 x 1.2 x 1.5 cm with nonhilar blood flow. Adjacent to it is a normal morphology lymph node.
Abnormal left axillary lymph node for which ultrasound-guided core biopsy is recommended.Prominent right axillary lymph nodes with normal morphology.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.