Ms. Pritchett is a 41-year-old female with history of head and neck cancer as well as right breast IDC status post right lumpectomy in 2015 followed by chemotherapy and radiation therapy. Patient also has a history of left breast reconstruction. Patient presenting for short-term evaluation of a prominent left axillary lymph node identified on CT dated 9/2/2016. Ultrasound evaluation of the left axilla redemonstrates a normal morphology lymph node measuring 1.1 x 0.6 x 1.1 cm, with normal hilar vascular flow. This lymph node appears stable in appearance dating back to prior ultrasound study of 9/14/2016.
Normal-appearing left axillary lymph node stable in appearance dating back to 9/14/2016. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, due May 2017. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.