Mr. Rutherford is a 49-year-old female with a history of recurrent left breast abscesses. She presents today with a four-day history of left breast swelling/pain/tenderness with an associated open wound. Upon physical exam of the left central breast, there is marked skin thickening, erythema, and redness of the overlying skin. Just medial to the left nipple-areola complex is a 1 cm open wound with draining pus/blood.Targeted left breast ultrasound was performed for the patient's area of concern. In the left retroareolar area, there is a large irregular hypoechoic area measuring 3.7 x 0.8 x 0.8 cm with marked associated vascularity. This appears very similar in appearance to prior ultrasound exam performed in April 2015, and is compatible with a chronic recurrent abscess.
Chronic recurrent abscess in the left retroareolar region. Patient is to follow-up with Joly Jose immediately after this appointment. All results and recommendations were relayed to the patient and Joly. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.