Ms. Bourbulas is a 80 year old female with a personal history of right breast lumpectomy in 2010 for DCIS followed by radiation therapy. She currently presents with a palpable left breast mass for the past one year. Upon physical exam at the patient's area of concern, there is a hard nonmobile mass appreciated. This site has been marked by the clinician. In the left breast 2:00 location, approximately 7 cm from the nipple, there is an irregular hypoechoic mass measuring 1.5 x 0.6 x 1.2 cm. There is minimal associated vascularity.
1.5 cm hypoechoic mass with suspicious features, corresponding to the palpable area of abnormality. Given its palpability, a surgical consultation is recommended at this. All results and recommendations were relayed to the patient and Joly Raju. The patient is not on any blood thinning medications.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.