Ms. O'Connell is a 38-year-old female with a personal history of metastatic left breast cancer diagnosed in 2011. Patient now feels a pea-sized mass in the left lower inner breast for the past one week. Upon physical exam at patient's area of concern, a superficial pea-sized mass is appreciated.A targeted left breast ultrasound was performed for the patient’s area of concern. In the left breast 7:00 location, approximately 6 cm from the nipple, there is an irregular hypoechoic mass identified measuring 0.9 x 0.7 x 0.7 cm. There is minimal associated vascularity. The current sonographically identified mass is in a similar location to previously identified mass in April 2015.
0.9 cm mass in the left lower inner breast, at the approximate location of previously identified suspicious mass in April 2015. An ultrasound-guided biopsy with clip placement can be performed if clinically warranted.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.