Known metastatic right axillary lymph node, status post biopsy and clip placement prior to her neoadjuvant chemotherapy. Evaluate for residual lymph node and biopsy clip. A targeted right ultrasound was performed for the axillary region. Two subcentimeter adjacent lymph nodes are seen in the right axilla. These are normalized in morphology compared to prior exams. There is an echogenic focus which has a morphology suggestive of the metallic portion of the Hydromark clip. This is located just medial to the adjacent lymph nodes.
Subcentimeter right axillary lymph nodes with an adjacent hyperechoic focus suggestive of the biopsy clip.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.