Ms. McWright is a 35-year-old female presenting with a tender palpable abnormality in the left axillary region for the past one week. Upon physical exam of the left axillary region, a subcentimeter pimple-like lesion is identified. There is minimal associated erythema and skin thickening.A targeted left axillary ultrasound was performed for the patient’s area of concern. In the left axillary region, there is a superficial hypoechoic mass measuring 2.0 x 2.7 cm. This mass is located within the dermal layer and is associated with moderate to marked vascularity. Findings are compatible with an inflamed epidermal inclusion cyst, with minimal associated skin thickening. No suspicious cystic or solid mass is identified.
Inflamed epidermal inclusion cyst with no sonographic evidence for malignancy. Patient can try hot compresses for relief of symptoms.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.