Miss Jonesbey is a 14-year-old female with a painful, palpable mass in the right breast for the past 1 week ago. She denies any overlying skin changes or nipple discharge. On physical examination, a small mobile mass is palpated at the superior periareolar region in the right breast.A targeted right breast ultrasound was performed for the palpable area of concern. In the right breast periareolar region, there is a circumscribed, hypoechoic mass with internal cystic component identified, measuring approximately 8 x 6 x 8 mm.
0.8 cm benign morphology mass at the site of palpable concern in the right periareolar region, with sonographic findings suggestive of a fibroadenoma. Given palpability, a breast surgical consultation is recommended for further evaluation. All results and recommendations were discussed with the patient and the patient's mother. BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.