69-year-old with personal history of breast cancer presenting with enlarged right supraclavicular lymph nodes. Ultrasound is requested. Targeted ultrasound is performed for the right supraclavicular region and right neck. There are numerous abnormal enlarged lymph nodes in this region. The largest and most superficial node measures 1.8 x 1.5 cm. Adjacent to the right jugular vein, at least two abnormal morphology are also seen, measuring about 9 mm each.
Multiple abnormal right supraclavicular and jugular lymph nodes. Surgical consultation is recommended, and the patient will be seeing Dr. Jaskowiak today.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.