61 year-old female with left breast mass on prior ultrasound examination from 2014 with increasing calcifications on recent mammogram. Left breast ultrasound:Targeted left breast ultrasound examination was performed for the patient's mammographic area of concern and area of previously seen left breast mass. Note is made of a normal morphology intramammary lymph node at the 3:00 position of the left breast approximately 2 cm from the nipple. Note is made of a heterogeneous but predominantly hypoechoic irregular mass at the 3:00 position of the left breast approximately 3 cm from the nipple, measuring approximately 1.4 x 0.4 x 1.0 cm with internal vascularity on Doppler interrogation, previously 1.1 x 0.6 x 1.0 cm, increased in size. Targeted left breast ultrasound examination was performed for the area of increasing calcification seen on recent mammogram. Note is made of an irregular heterogeneous but predominantly hypoechoic mass measuring 1.8 x 0.8 x 1.3 cm at the 12:00 position of the left breast approximately 1 cm from the nipple. There is extensive peripheral and internal vascularity on Doppler interrogation.
Multiple left breast masses with the largest measuring 1.8 cm at the 12 o'clock position of the left breast. Further evaluation with ultrasound-guided core needle biopsy is recommended. These findings and recommendation were discussed directly with the patient.BIRADS: 5 - Highly suggestive of malignancy. RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. 