Ms. Calle is a 60 year old female with a personal history of right breast mastectomy for ILC in 2009 followed by radiation and tamoxifen therapy. She presents today for a physician palpated superficial lump in her right axilla. On physical examination, a superficial mass is palpated in the right axilla.A targeted right axillary ultrasound was performed for the palpable area of concern. There is a superficially located, round anechoic lesion with layering echogenic material measuring 6 x 4 x 8 mm. There is no internal vascular flow. Sonographic findings are consistent with a benign oil cyst with calcifications.
Benign oil cyst of the right axilla corresponding to the palpable area of concern. No sonographic evidence for malignancy in the right axilla. As long as the patient's physical examination remains normal, left breast unilateral diagnostic mammogram is recommended annually, due next in June 2017. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.