Palpable mass in the lateral right breast. Personal history of Ewings sarcoma and acute lymphocytic leukemia. On physical examination, a 2 cm soft mobile palpable mass is present in the lateral right breast. A bilateral whole breast ultrasound was performed. At the 9 o'clock position of the right breast, 3 cm from the nipple, a 2.6 x 1.6 x 2.6 cm lobulated hypoechoic parallel mass is present with minimal internal vascularity. At the 6 o'clock position of the right breast, 2 cm from the nipple, a 1.2 x 0.9 x 1.5 cm lobulated hypoechoic mass is present with mild internal vascularity. No additional masses are present in either breast.
Two similarly appearing masses in the right breast, one at 9 o'clock and one at 6 o'clock. Statistically, these are most likely fibroadenomata. However, given the patient's clinical history, referral to the breast clinic for possible FNA based on palpability is recommended. Results and recommendations were discussed with the patient. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.