27-year-old female with history of a previously palpable breast mass for 3 weeks who presents for evaluation. Patient currently does not palpate a breast mass. Patient complains of nipple tenderness. Denies nipple discharge. No history of past or present breast-feeding.On physical examination, no mass is palpated at the patient's location of concern. No evidence of erythema, edema, or warmth overlying nipple.A targeted left ultrasound was performed for the patient’s area of concern. There is a anechoic focus measuring up to 4 mm without internal vascularity in the skin at approximately 9:00 position, 2 cm from the nipple; findings consistent with an epidermal cyst. There is no solid or cystic mass identified within the breast.
Findings consistent with subcentimeter epididymal cyst.No sonographic evidence of malignancy.If the palpable mass returns, additional evaluation may be warranted. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.