42 year-old history of phyllodes tumor in the left breast presents with painful areas in each breast. LEFT: On physical exam, there is erythema and visible skin changes in the left breast upper inner quadrant likely related to excision of phyllodes tumor. There is pain on palpation of the marked area in the left upper outer quadrant near the axillary tail. No discrete mass is palpated. A targeted left grayscale and color Doppler ultrasound was performed for the patient’s area of concern, and in the left breast 1:00 position near the axillary tail. Dense fibroglandular tissue is seen. No solid or cystic mass.RIGHT: On physical exam, there is pain on palpation of the marked area in the right upper-outer quadrant near the axillary tail. No discrete mass is palpated. A targeted right gray scale and color Doppler ultrasound was performed for the patient’s area of concern, and in the right breast 11:00 position near the axillary tail. Dense fibroglandular tissue is present. A few small cysts are seen, for example in the 11:00 position near the axillary tail measuring 3 x 4 mm. No solid or cystic mass.
No suspicious findings in either breast upper-outer quadrant in the areas of concern. Small cysts in the right breast. No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.