Ms. Linda Weber is a 68 years old female with right mastectomy for IDC 23 years ago followed by left prophylactic mastectomy in 2010 with a reconstruction presents for follow-up for a palpable mass in the right axilla. Patient states that the palpable area in her right axilla is not painful anymore. A targeted right axillary ultrasound was performed for the palpable area of concern. There is redemonstration of the possibly encapsulated heterogeneous mass with mixed echogenicity, which has slightly decreased in size from the prior study and now measures 2.5 x 0.7 x 2.1 cm (previously 2.9 x 0.7 x 2.6 cm). This again likely represents a benign pathology, such as fat necrosis. No suspicious mass is noted.
No sonographic evidence for malignancy. Interval slight decrease in size of the previously described benign heterogeneous mass. Further imaging follow up should be dictated by any changes on physical exam. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.