46 year old female patient with history of known right breast cancer with metastases to the right axilla presents for follow up after 12 cycles of neoadjuvant chemotherapy. A right breast ultrasound was performed. The previously identified lesion in the right breast in the 10:00 o'clock position currently measures 1.6 x 1.1 x 1.1 cm, previously 3.6 x 2.6 x 2.6 cm. Previously biopsied right axillary lymph node with clip measures 0.9 x 0.6 x 0.3 cm, previously 1.7 x 0.9 x 1.1 cm.
Moderate response to chemotherapy of right breast cancer and axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.