Ms. Miller is a 24 year old female with a recent history of PE and left axillary adenopathy seen on recent CT study. She has no other medical problems. Targeted left axillary ultrasound is performed.In the left axilla, there is an enlarged abnormal morphology lymph node identified measuring 3.2 x 1.2 x 2.1 cm. There is no significant vascularity.
Abnormal morphology left axillary lymph node. An ultrasound-guided biopsy with clip placement is recommended for further evaluation. Of note, the patient does take Xarelto for her recently diagnosed PE.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.