Ms. Siwak is a 26 year old female presenting with a palpable tender lump in the right axilla for one month. A targeted right breast ultrasound is performed for the patient's area of concern.In the right breast 10:00 location, approximately 6 cm from the nipple, no suspicious cystic or solid mass is identified.Seen just slightly superolateral to this is a normal right axillary lymph node measuring approximately 1.8 x 1.1 cm with normal hilar flow.
Patient's palpable tender lump may correspond to a low-lying normal right axillary lymph node. No sonographic evidence of malignancy. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings. All results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.