Ms. Moog is a 25-year-old with palpable right breast mass which may have slightly increased in size over the past 6 months. Family history of breast cancer in maternal grandmother and maternal aunt. On physical exam, there is a palpable mobile mass in the upper inner quadrant of the right breast.A targeted right breast ultrasound was performed for the palpable area of concern. In the right breast 2:00 position 5 cm from nipple, there is a 1.8 x 1.0 x 2.0 cm circumscribed hypoechoic wider than tall mass with internal vascularity, highly suggestive of a fibroadenoma.
Benign morphology mass of the right breast, with sonographic features suggestive of a fibroadenoma. Given palpability and history of interval growth, a surgical consultation is recommended for further evaluation. Findings and recommendations were discussed with the patient at time of the exam.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.