68-year-old female with bilateral palpable areas of concern. Areas of concern are marked by Dr. Jaskowiak. A targeted right ultrasound was performed for the palpable area of concern, as marked. At the approximate 10 o'clock position of the right areolar border, there is a lobulated, heterogeneous mass measuring 1.3 x 0.9 x 1.0 cm. There is mild posterior acoustic shadowing with minimal peripheral vascularity appreciated.A targeted left ultrasound was performed for the palpable area of concern, as marked. At the approximate 3 o'clock position of the left areolar border, there is an ill-defined, heterogeneous lesion measuring 1.2 x 0.4 x 0.8 cm with mild posterior acoustic shadowing. Mild peripheral vascularity is present.
1. Lobulated, heterogeneous mass at the area of palpable concern at the 10 o'clock position of the right retroareolar breast. Differential considerations include fat necrosis and malignancy. Fine needle aspiration is recommended.2. Heterogeneous mass at the 3 o'clock position of the left retroareolar breast, which demonstrates similar sonographic characteristics to the right breast lesion.Results and recommendations were discussed with the patient and Dr. Jaskowiak. The patient will be scheduled for ultrasound guided FNA.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.