35-year-old female with mildly enlarged right axillary lymph node on prior mammogram of 4/27/2016. Positive family history for breast cancer in maternal great grandmother and mother. Targeted ultrasound of the right axilla demonstrates multiple benign-appearing lymph nodes largest measuring up to 1.3 cm in size, with no significant cortical thickening. Normal fatty hila and normal hilar blood flow are maintained.
No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended next year, to ensure stability. If the exam is stable, she may subsequently return to routine screening. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.