Ms. Rush is a 20 year old female presenting with a physician-detected a "mole" in the right breast. She has a family history of breast cancer in her mother (diagnosed at age of 29). Upon physical examination, a small mole is seen in the right inferior breast. No discrete mass is appreciated underneath this mole.A targeted right ultrasound was performed for the patient’s area of concern. In the right inferior breast, 6 o'clock position, no suspicious cystic or solid mass is identified. Inferior to the skin lesion, there was a simple cyst measuring 2 mm.
No sonographic evidence for malignancy. Patient should follow-up with her primary physician as clinically warranted. In addition, given the strong family history, a consideration into initiating surveillance mammography and MRI starting at the age of 25 should be made. All results and recommendations were relayed to the patient.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.