Ms. Postma is a 45-year-old woman with biopsy-proven left breast cancer. She presents today for further evaluation of nonspecific lymph node seen on breast MRI and ultrasound at outside hospital and palpated by surgeon. A targeted left axillary ultrasound was performed for the palpable area of concern by Dr. Jaskowiak. -In the lower axilla, there is a 1.1 x 0.4 x 0.7 cm normal morphology lymph node noted with normal uniform cortical thickness and fatty hilum (annotated #1). -Another normal morphology lymph node measuring 1.6 x 1.2 cm with uniform cortical thickness and fatty hilum is seen in the mid axilla (annotated #2). These two lymph nodes correspond to those identified on outside hospital ultrasound examinations. No suspicious lymph nodes are identified.
Normal left axillary lymph nodes. Findings were communicated to the patient and Dr. Jaskowiak's office at the time of the exam.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.