A patient submitted outside study for review. Submitted for review are ultrasound images of right breast and right axilla (2/5/15), images from ultrasound guided biopsy (2/9/15) performed at DuPage Medical Group. ULTRASOUND IMAGES OF RIGHT BREAST AND RIGHT AXILLA (2/5/15):Irregularly shaped, microlobulated mass, measuring 23 x 19 x 22 mm, with increased blood fow is visualized at 10 o'clock in the right breast. This mass is highly suggestive for malignancy. An abnormal lymph node with asymmetric cortical thickening is present in the right axilla. One normal appearing lymph node is also present in the right axilla.IMAGES FROM ULTRASOUND GUIDED BIOPSY (2/9/15):A needle biopsy was performed for the right breast mass at 10 o'clock position with an appropriate needle placement. The annotation on the image states that a "buckle clip" is placed within the mass.Per outside pathology report, the biopsy result was malignant, invasive carcinoma grade 3.
Biopsy proven right breast carcinoma, with an abnormal right axillary lymph node. If mammogram has not been performed, it should be performed.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.