Ms. Alston is a 69 year old female status post bilateral mastectomy in August 2014. She now presents with a palpable lump in the left lateral reconstructed breast. The physician palpated area of concern in the left lateral breast is marked. Upon physical exam, there is a palpable superficial mobile mass present.A targeted left ultrasound was performed for the palpable area of concern. There is an ovoid hyperechoic solid mass measuring 2.1 x 0.6 x 2.8 cm. This mass is not associated with any vascularity. It is superficially located. There is no suspicious solid or cystic mass identified.
Sonographic findings compatible with fat necrosis in the left lateral reconstructed breast. No sonographic evidence for malignancy. Patient may continue to follow-up with surgery as clinically warranted. All results and recommendations were relayed to the patient and Sarah Petraitis at the time of dictation.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.