49-year-old female patient with history of lung cancer (diagnosed at the age of 48) and painful region in her right breast. Per patient, the painful area in the medial right breast has been present for several years, but has worsened in intensity since her surgery for lung cancer in Oct 2014. The patient's clinical team did not want a mammogram for today's examination. Limited examination without concomitant mammogram. Upon physical exam at the patient's area of concern, no discrete mass is appreciated. A targeted right breast ultrasound was performed for the patient’s area of concern at the 3:00 position within the right breast. There is no suspicious solid or cystic mass identified. Normal glandular tissue is seen.
No sonographic evidence for malignancy in the patient's area of concern with ultrasound showing normal glandular tissue. The patient should follow up with her primary care team as clinically warranted, presuming these results are concordant with the physical exam findings. Of note, this examination is incomplete without an accompanying bilateral mammogram and should be obtained when patient's health allows for it.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.