Ms. Hrovat is a 58 year old female with a personal history of left breast lumpectomy in 2009 for ILC/LCIS along with right breast reduction in 2010 treated with radiation, chemotherapy, and hormonal therapy. She presents today after physical exam changes on same-day physician appointment. Targeted grayscale and color ultrasound of the left breast.In the left breast 2:00 position, approximately 2 cm from the nipple, there is a superficially located avascular hypoechoic lesion with posterior shadowing identified, measuring approximately 1.0 x 0.6 x 0.9 cm. Sonographic findings are compatible with benign fat necrosis. Just inferolateral to this lesion, in the left breast, is an additional superficially located avascular hypoechoic lesion and internal calcifications measuring approximately 1.2 x 0.3 x 1.4 cm. Sonographic findings are compatible with benign fat necrosis.
Benign fat necrosis of the left breast. No sonographic evidence of malignancy. Patient should continue to follow up with her surgeon as clinically warranted. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, due next in June 2017. All results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.