65 years old female presenting for annual mammogram, with a personal history of suspected right breast injury from a recent car accident several months ago. The patient reports that her bruise and pain in the right breast have significantly improved since the injury and presents for follow-up. On physical exam, there is no discrete palpable abnormality.A targeted right ultrasound was performed for the patient’s area of concern. The heterogeneous avascular mixed echogenicity area previously seen in the right breast o'clock position 1 cm from nipple measures 1.0 x 0.8 x 1.6 cm, significantly decreased in size since ultrasound 10/21/2015 when it measured 3.9 x 2.5 x 3.0 cm. Findings are consistent with a resolving hematoma/fat necrosis.
Resolving hematoma/fat necrosis. As long as the patient's physical examination demonstrates continued decrease in size of the clinical area of concern, return to annual screening mammogram is recommended. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.