Ms. Metcalf submitted outside study for review. Submitted for review is:-Right breast ultrasound: 1/11/2016 This examination was performed at Ingalls Memorial Hospital. Static ultrasound images are submitted for interpretation. In the right retroareolar region, approximately 1 cm from the nipple, there is a lobulated hypoechoic mass identified measuring 2.9 x 1.2 cm. There is minimal associated vascularity.
Sonographic findings most suggestive of a fibroadenoma. Given patient's age and palpability, a surgical consultation is recommended at this time for further evaluation and for consideration of palpably-guided FNA. Alternatively, the patient may return for a short term 6 month ultrasound follow-up examination to confirm stability as long as the mass is unchanged. BIRADS: 3 - Probably benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.