Ms. Norfolk is a 65 year old female with known right breast IDC and metastatic right axillary lymph node. She presents for imaging evaluation to assess for response to hormonal therapy. Targeted grayscale and color ultrasound of the right breast and axilla.In the right breast 9:00 position, approximately 6 cm from the nipple, there is revisualization of an irregular hypoechoic mass with centrally located biopsy marker clip now measuring approximately 1.1 x 0.9 x 0.8 cm, previously 1.0 x 0.8 x 0.5 cm on outside examination. In the right axilla, previously biopsied axillary lymph node with centrally located clip now measures approximately 1.5 x 0.9 cm, previously 1.9 x 1.4 cm.
Known index malignancy in the right breast and metastatic right axillary lymph node are stable to slightly decreased when compared to prior imaging. Continued surgical consultation is recommended at this time. All results and recommendations were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.