Ms. Li is a 22-year-old female presenting with bilateral palpable masses for the past 2 months. Per patient, the right breast lesion has demonstrated increased growth over the past 2 months. Upon physical exam of the right superior breast, there is a superficially located large mobile mass appreciated. Upon physical exam of the left upper outer breast, there is an additional large mobile mass appreciated.A targeted right breast ultrasound was performed for the palpable area of concern. In the right breast 12:00 location, approximately 3 cm from the nipple, there is a lobulated predominantly hypoechoic mass identified measuring 3.5 x 2.1 x 3.3 cm. There is moderate associated vascularity.A targeted left breast ultrasound was performed for the palpable area of concern. In the left breast 1:00 location, approximately 3 cm from the nipple, there is a lobulated hypoechoic mass identified measuring 1.3 x 0.9 x 1.2 cm. There is mild associated vascularity.
Bilateral palpable masses, one which has demonstrated interval growth over the past 2 months. Given bilaterality and palpability of lesions, a consultation with a breast surgeon is recommended for further evaluation.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.