Ms. Dixon is a 27-year-old female presenting with a 3 week history of left breast swelling, redness, tenderness. Patient was on a 1 week trial of Bactrim with no resolution of symptoms. Upon physical exam of the left breast, the breast is asymmetrically larger than the right breast, edematous and erythematous. There is a focal area of swelling/bulging in the medial left breast, adjacent to the nipple areolar complex.A targeted left breast ultrasound was performed for the patient’s area of concern. In the left breast 9:00 location, approximately 2 cm from the nipple, there is an irregular mixed echogenic mass measuring 4.2 x 1.8 x 5.0 cm. There is marked vascularity associated with this mass along with internal heterogeneity, compatible with floating debris. Sonographic findings are compatible with a left breast abscess. Associated findings include marked skin thickening, measuring up to 0.8 cm.
Sonographic findings compatible with a 5 cm left breast abscess. Patient should have a surgical consultation for further evaluation. All results and recommendations were relayed to the patient and Dr. Claire Shappell. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.