Ms. Lopez is a 39-year-old female presenting for short term ultrasound follow-up for known right chest wall lipoma. Family history of breast cancer in both maternal and paternal great aunts. Personal history of lupus. Upon physical exam at the patient's area of concern, a superficial soft mobile mass is appreciated.A targeted right breast ultrasound was performed for the patient’s area of concern. In the right breast 9:00 location, approximately 9 cm from the nipple, there is revisualization of an oval isoechoic mass measuring 2.4 x 0.5 x 1.3 cm, previously measuring 2.4 x 0.5 x 1.2 cm. Sonographic findings are compatible with a benign lipoma.In the right breast 10:00 location, approximately 5 cm from the nipple, there is a round anechoic lesion identified, measuring 0.5 x 0.3 x 0.6 cm. Sonographic findings are compatible with a simple cyst. In the right axillary region, at least four enlarged right axillary lymph nodes are again identified, appearing stable when compared to the prior ultrasound examination from July 2015.
(1) Benign lymphoma of the right lateral chest.(2) Simple cyst of the right upper outer breast.(3) Enlarged but stable right axillary lymph nodes, likely related to patient's personal history of lupus.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.