65 year-old female with known right breast IDC and metastatic right axillary lymph node. She presents for imaging evaluation to assess for response to hormonal therapy. A targeted right breast and axillary ultrasound was performed.In the right breast at the 9:00 position 6 cm from the nipple there is revisualization of an irregular hypoechoic mass with a centrally located biopsy marker clip. The mass measures 8 x 4 x 6 mm, decreased in size from prior 11 x 9 x 8 mm.In the right axilla there is revisualization of a lymph node with a centrally located biopsy marker clip. The lymph node measures 13 x 7 mm, decreased in size from prior 15 x 9 mm.
Interval decrease in size of right breast index malignancy and metastatic right axillary lymph node. Continued surgical consultation is recommended. Recommendations and results were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.