Ms. Herts is a 27-year-old female with a personal history of Crohn's disease on immunosuppressant therapy, complaining of new palpable tender right breast lump. No family history of breast cancer. A targeted right ultrasound was performed for the patient’s area of concern.In the right breast 8:00 location, approximately 2 cm from the nipple, there is a thick-walled unilocular hypoechoic lesion with floating internal debris, posterior acoustic enhancement and peripheral vascularity, measuring approximately 1.3 x 0.8 x 0.9 cm.
Sonographic findings are compatible with a right periareolar abscess. No sonographic evidence of malignancy. Patient should be seen by a breast surgeon for further evaluation and treatment. All results and recommendations were discussed with patient and Dr. Bao at time of dictation. The patient was subsequently seen by Dr. Bao and immediately redirected for a surgical consult.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.