A patient submitted outside study for review. Submitted for review are ultrasound 5/27/2016; ultrasound biopsy 6/6/2016 performed at North Shore University Health System. No comparisons are available. Right Ultrasound 5/27/2016: 3 lesions were identified on ultrasound. A right 12:00 circumscribed benign appearing lobulated mass measures 1.6 x 0.8 x 1.5 cm. At site of palpable concern, adjacent to this mass (12:00) there is an irregular hypoechoic mass with acoustic shadowing involving the right upper central breast. A second area of palpable concern (6:00), appear similars, with an irregular hypoechoic area with acoustic shadowing.Right breast ultrasound 6/6/2016: Limited images demonstrate core needle biopsy of the right breast 6:00 hypoechoic shadowing mass, identified on 5/27/2016. Additional images demonstrate biopsy of the hypoechoic shadowing mass in the upper right breast. A third biopsy was performed of the 12:00 circumscribed 1.6 cm mass identified 5/27/2016. Pathology results: 1. Right breast 6:00 core needle biopsy: Invasive lobular carcinoma.2. Right breast upper central invasive lobular carcinoma. 3. Right breast 12:00 invasive lobular carcinoma and fibroadenoma.
1. Hypoechoic shadowing mass 6:00 right breast, invasive lobular carcinoma, concordant. 2. Hypoechoic shadowing mass involving the upper central and 12:00 right breast, invasive lobular carcinoma, concordant. 3. Right breast 12:00 circumscribed lobulated mass, fibroadenoma, concordant.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.