Ms. Edinburgh is a 78-year-old female with a personal history of right breast mastectomy for IDC/DCIS in 2011 and hormonal therapy. She now presents with a palpable mass in the left axilla. Upon physical exam at the patient's area of concern, no discrete mass is appreciated.Targeted ultrasound of the left axilla was performed, demonstrating a benign left axillary lymph node measuring 1.1 x 1.0 x 1.5 cm. Normal hilar vascular flow was identified. No additional suspicious lesions were identified.
Normal left axillary lymph node. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually, due next in Feb 2017. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.