Two palpable areas of concern in the right breast. Previous left mastectomy for malignant phyllodes tumor. A targeted right ultrasound was performed for the 2 areas marked by the clinical service. At the more superior area marked by the service, multiple cysts are seen. A larger septated cyst measures 6 x 5 mm. A smaller adjacent cyst measures 3 mm. No internal vascularity is seen within the cysts. At the area marked by the clinical service closer to the nipple, a 9 x 9 mm hypoechoic mass with mild internal vascularity is seen. This is more consistent with a solid mass rather than a complicated cyst.
1. Right breast mass at the area closer to the nipple marked by the service measuring 9 mm is more consistent with a solid mass rather than a complicated cyst.2. Cysts are present at the more superior area marked by the clinical service.The patient is being seen today in surgery clinic, where palpably guided FNA will be considered. The solid mass would also be amenable to ultrasound-guided biopsy if clinically indicated.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.