45-year-old with history of left mastectomy. Routine right mammogram was normal earlier today. A palpable area of concern was felt in the right outer breast at posterior depth. Targeted ultrasound was performed for the palpable area which was marked by the clinical service. No suspicious solid or cystic mass is apparent. A few prominent fat lobules were noted.
No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Clinical correlation is recommended for the palpable area of concern as further workup may be warranted if the area is highly suspicious on physical exam. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram.