16 year old with palpable lump in right breast. With physical exam, a mobile mass was palpated near the nipple in right breast. Whole breast ultrasound was performed for both breast, by patient's mother's request. In the right breast, there is a circumscribed mass, measuring 19 x 10 mm, at 3 o'clock position, 1 cm from nipple, at the site of palpable lump. Color Doppler study shows a peripheral blood flow. This mass is likely a fibroadenoma. Elsewhere, no solid or cystic mass is present in either breast.
A palpable lump in the right breast, likely a fibroadenoma. Clinical correlation is recommended. If imaging follow up is clinically indicated, follow up ultrasound in 6 months is recommended. Results and recommendations were discussed with the patient and her mother.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.