History of multiple bilateral fibroadenomas status post surgery in feb 2015 now with new masses. On physical exam there are multiple palpable masses in both breasts.A right grayscale and color Doppler whole breast ultrasound was performed for the palpable areas of concern. There are multiple well-circumscribed hypoechoic masses demonstrating posterior acoustic enhancement, some of which have internal vascularity. All of the masses identified as follows as referenced on the ultrasound images: -Mass #1 at the 11:00 position 3 cm from nipple measures 4.4 x 2.4 cm-Mass #2 at the 12:00 position 3 cm from nipple measures 3.8 x 1.3 cm-Mass #3 at the 12:00 position 3 cm from the nipple measures 1.4 x 1.0 cm-Mass #4 at the 12:00 position 3 cm from nipple measures 1.2 x 1.0 cm-Mass #5 at 12:00 position 3 cm from nipple measures 1.3 x 1.0 cm- Mass #6 at the 3:00 position 3 cm from nipple measures 1.3 x 0.6 cm-Mass #7 at 6:00 position 3 cm from nipple measures 2.0 x 1.0 cm-Mass #8 at the 6:00 position 3 cm from nipple measures 1.5 x 0.8 cm-Mass #9 at the 7:00 position 3 cm the nipple measures 0.8 x 0.6 cm -Mass #10 at the 9:00 position 1 cm from nipple measures 1.2 x 0.7 cm-Mass #11 at the 9:00 position 1 cm from nipple measures 1.8 x 0.9 cmAll the masses are most likely benign fibroadenomas.A left grayscale and color Doppler flow breast ultrasound was performed. There are multiple well-circumscribed predominantly hypoechoic masses demonstrating posterior acoustic enhancement some of which have internal vascularity. All of the masses identified are swallows as referenced on the ultrasound images: -Mass #1 at the 12:00 position 3 cm from the nipple measures 1.2 x 0.7 cm-Mass #2 at the 12:00 position 3 cm from nipple measures 1.3 x 0.9 cm-Mass #3 at the 12:00 position 3 cm from nipple measures 0.7 x 0.5 cm-Mass #4 at the 1:00 position 1 cm from nipple measures 3.2 x 1.4 x 4.0 cm -Mass #5 at the 2:00 position 5 cm from nipple measures 3.4 x 2.1 x 3.6 cm-Mass #6 at the 2:00 position 7 cm the nipple measures 3.2 x 1.8 x 3.5 cm-Mass #7 at the 5:00 position 5 cm from the nipple measures 2.0 x 1.1 cm -Mass #8 at the 6:00 position 1 cm the nipple measures 2.2 x 1.1 x 2.3 cm-Mass #9 at the 8:00 position 4 cm from nipple measures 2.2 x 0.7 cm-Mass #10 at the 10:00 position 4 cm from nipple measures 1.5 x 0.7 cm -Mass #11 at the 10:00 position 4 cm from the nipple measures 1.6 x 1.0 cm. All the masses are most likely benign fibroadenomas.
Multiple bilateral breast masses, the largest in the right breast 11:00 position measuring up to 4.5 cm, with imaging characteristics suggestive of fibroadenomas. Outside pathology reports from previous surgical excision show all lesions to represent benign fibroadenomasBIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.