15-year-old female with tender palpable lump in the upper inner quadrant of the left breast for 5 months. Patient reports that the pain has been constant and the lump has been present all time. A targeted left ultrasound was performed for the palpable area of concern. On physical examination, vague focal thickening can be appreciated at the 10:00 position of the left breast at the site indicated by the patient. Placement of the transducer at this site elicited focal tenderness, which the patient indicated was her typical symptoms. The transducer was passed over this area multiple times in multiple different orientations. No solid masses or cysts are identified. Sonographically unremarkable appearing fibroglandular tissue is seen.
No sonographic evidence for malignancy. No sonographic abnormality to explain the patient's area of palpable concern and focal tenderness. Continued clinical management is recommended. Further evaluation of a clinically suspicious abnormality should not be delayed by negative imaging. Rather, negative imaging may serve to reinforce a negative or benign clinical impression. The results and recommendations were discussed with the patient and with her father at the completion of the examination.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.