Ms. NAISHIA L WALKER is a 16 years old female with a personal history of palpable masses in the right breast. ULTRASOUND:On physical examination, palpable masses were noted in the low right axillary tail as well as in the right breast at the 11:00 position, approximately 3 cm from the right nipple.A targeted right ultrasound was performed for the palpable area of concern. A multilobulated well-circumscribed hypoechoic mass is present at the 11:00 position, approximately 3 cm from the nipple, which measures 15 x 13 x 17 mm. There is an additional well-circumscribed hypoechoic lesion superior to this mass, which may represent a lobulation or an additional mass. In the right axilla/lower axillary tail, there are two well-circumscribed hypoechoic lesions. The larger measures 17 x 10 x 19 mm, and the smaller, which is lateral and anterior measures 9 x 5 x 9 mm. The total extent of these two masses measures approximately 2.5 cm.
Palpable circumscribed hypoechoic masses in the right axilla/lower axillary tail and right breast most consistent with benign fibroadenomas. Surgical consultation and short-term follow-up is recommended.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).