Ms. Stevens is a 66 year old female with known multicentric right breast cancer with metastatic axillary lymphadenopathy. She presents today for imaging evaluation to assess treatment response. Targeted right breast ultrasound was performed for the known areas of malignancy.In the right breast 9:00 location, approximately 7 cm from the nipple, there is revisualization of the biopsy-proven malignancy with associated biopsy marker clip now measuring approximately 2.2 x 1.7 x 1.8 cm, previously measuring 2.8 x 2.1 x 2.9 cm.In the right breast 9:00 location, approximately 5 cm from the nipple, there is revisualization of the second biopsy-proven malignancy with associated biopsy marker clip now measuring approximately 0.9 x 0.3 x 0.9 cm, previously measuring 1.0 x 1.2 x 1.0 cm.Of note, the two sites of malignancy at the 9:00 location are confluent on today's examination.In the right breast 8:00 location, approximately 7 cm from the nipple, there is revisualization of the third biopsy-proven malignancy now measuring approximately 0.9 x 0.7 x 0.7 cm, previously measuring 0.9 x 0.6 x 0.8 cm.
Stable to slight interval improvement in known multifocal right breast malignancy, measurements as above. Patient should continue to follow up with her breast surgeon/medical oncologist for further evaluation. All results recommendations were discussed with the patient and Dr. Nanda.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.