Palpable painful left breast mass. History of prior left breast benign biopsy. Physical examination in the patient's area of concern revealed a subcentimeter nodule in the left breast at the 11:00 position 3 cm in the nipple, with tenderness to palpation. No associated skin changes were noted.A targeted left ultrasound was performed in this area, demonstrating a round 4 x 3 x 4 mm hypoechoic lesion with well-defined margins and foci of internal vascularity.
Indeterminate 4 mm lesion with internal vascularity in the left breast. Ultrasound-guided biopsy is recommended. Findings and recommendation were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.