61-year-old female with history of benign MRI guided right breast biopsy in March 2016. Now presents with palpable lump in the upper right breast. Family history of breast cancer in sister, diagnosed at age 26. Personal history of BRCA 2 mutation, enrolled in research study. Physical examination at the patient's palpable area of concern demonstrated a hard lump at the 1:00 position in the right breast, approximately 6 cm from the nipple. A targeted right breast ultrasound at the palpable area of concern demonstrated 2 mixed echogenicity avascular lesions containing debris and scattered septations. Findings are compatible with a hematoma that is comprised of two separate components separated by a thin layer of normal breast tissue. The deeper component of the hematoma contains the biopsy clip. The overall hematoma measures 3.0 x 3.4 cm. No suspicious cystic or solid lesions are identified.
Right breast hematoma as described above. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral breast MRI is recommended in September 2016 followed by bilateral diagnostic mammogram in March 2017 as per the patient's research study protocol.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.