15-year-old presents for further evaluation of palpable lumps in both breasts. On physical exam, there is no palpable abnormality in either breast.A targeted Gray scale and color Doppler right breast ultrasound was performed for the patient’s areas of pain and concern. In the moderate breast 11:00 position 6 cm from the nipple at the site of palpable concern, dense fibroglandular tissue seen. In the right breast 6:00 position 4 cm from nipple at the area of pain in subareolar glandular tissue is seen. No suspicious solid or cystic masses are identified in either area.A targeted grayscale, Doppler left breast ultrasound was performed for the patient's areas of pain and concern. In the left breast 11:00 position 4 cm from the nipple, 1:00 position 4 cm from nipple and 6:00 position 4 cm from nipple, at the sites of pain and palpable concern, of unremarkable density of under tissue is seen. No suspicious solid or cystic masses are identified in these areas.
No sonographic evidence for malignancy. As long as the patient's physical exam is unchanged, the patient should follow up with her primary care physician. The results and recommendations were discussed with the patient and her mother at the time of exam.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Follow-up.