Ms. Borisuth is a 17 year old female presenting with a palpable right breast mass x2 months with biopsy (July 2016) revealing a fibroepithelial lesion. A targeted right and whole left breast ultrasound was performed for the palpable areas of concern. In the right breast 12:00 location, approximately 3 cm from the nipple, there is a macrolobulated hypoechoic lesion identified 2.1 x 1.6 x 2.3 cm, compatible with biopsy proven fibroepithelial lesion. In the left breast 2:00 location, approximately 3 cm from the nipple, there is an additional macrolobulated hypoechoic lesion identified 1.7 x 0.6 x 1.1 cm, benign morphologic features suggestive of an additional fibroadenoma.
Biopsy proven fibroepithelial lesion of the right breast. High probability benign lesion of the left breast, likely representing fibroadenoma. A short term 6 month follow-up ultrasound can be performed in order to ensure stability of these findings. Patient is scheduled to follow-up with Dr. Bao immediately after radiology appointment. All results and recommendations were discussed with patient and her parents. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (6 Months). 