Patient presents for short-term follow-up of highly likely benign findings in the left axillary region. The area is unchanged to the patient. A targeted left ultrasound was performed for the palpable area of concern. Again seen is a mixed echogenicity mass, not significantly changed in size, measuring 8 x 7 mm. This remains highly likely benign, probably a small lymph node with adjacent fat necrosis.
No significant change in highly likely benign finding in the left axillary region. As long as there is no change in physical exam findings, the area could be evaluated at the time of her next mammogram, due in September 2016. If there is any change in the interim, then reevaluation with ultrasound should be performed.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).