15 year old female with personal history of three excisional biopsies of the right breast (November 2015) compatible with biopsy proven juvenile fibroadenomas. She presents today with follow-up. A targeted right ultrasound was performed in the area of known masses. Three lobulated circumscribed masses were again noted in the right upper outer breast.The largest mass (#1) at the 10:00 position 5 cm from the nipple measured 3.6 x 2.0 x 4.7 cm, increased from prior 2.7 x 1.8 x 3.7 cm.The more superomedial mass (#2) at the 12:00 position 5 cm from the nipple measured 0.9 x 0.8 x 1.1 cm, increased from prior 0.7 x 0.7 x 0.9 cm.The inferolateral mass (#3) at the 10:00 position 5 cm from the nipple measured 1.4 x 0.9 x 2.3 cm, increased from prior 1.3 x 0.9 x 2.1 cm.
Interval increase in size of three right breast masses likely fibroadenomas. Patient is scheduled to follow-up with Dr. Jaskowiak. Results were discussed with patient and her mother. BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.