Ms. Jacobsen is a 42-year-old female with right breast mastectomy in February 2014 for IDC/DCIS along with a prophylactic left breast mastectomy. She was treated with chemotherapy. She now presents with two palpable areas along the postsurgical scars in the right upper outer breast./right lower axillary region. Upon physical exam at the patient's palpable areas of concern, subtle nodularity is identified at the margin of the implant along the postsurgical scars.A targeted right breast ultrasound was performed for the palpable areas of concern. - in the right lower axillary region, no suspicious cystic or solid mass is identified. The edge of the implant is present at this location.- in the right upper outer breast, no suspicious cystic or solid masses identified. Again, the edge of the implant is present at this location.
No sonographic evidence for malignancy. Patient is scheduled to see Dr. Jaskowiak after this appointment. BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.