Ms. Smith is a 25-year-old woman with history of bilateral breast reduction presenting for further evaluation of a growing lump in the lateral right breast. On physical exam, there is ridgelike breast tissue palpated in the lateral right breast at the site of patient's concern.A targeted right ultrasound was performed for the patient’s area of concern. In the lateral right breast 9:00 position, 5 cm from nipple, dense fibroglandular tissue interspersed with fat lobules is seen. No suspicious cystic or solid masses are identified in this area or in adjacent breast parenchyma.
No sonographic evidence for malignancy. Clinical follow-up is recommended for the area of palpable concern. As long as the physical exam is unchanged, screening mammogram is recommended beginning at age 40. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Follow-Up Needed.