18-year-old with bilateral fibroadenomas presents for follow-up. Patient states she feels like the right fibroadenoma is larger. RIGHT BREAST ULTRASOUND:On physical exam, there is a palpable soft mobile mass in the right breast upper outer quadrant at the area of clinical concern.A targeted grayscale and color Doppler right ultrasound was performed for the palpable area of concern. In the 10:00 location 5 cm from nipple there is a 1.4 x 0.8 x 1.5 cm well-circumscribed mass with internal vascularity and posterior acoustic enhancement, favoring a fibroadenoma. This mass previously has not significantly changed in size since ultrasound 5/26/2015 when it measured 1.2 x 0.7 x 1.4 cm and ultrasound 11/17/2014 when it measured 1.2 x 0.6 x 1.0 cm, accounting for differences in technique LEFT BREAST ULTRASOUND: On physical exam there is a mobile soft palpable mass in the left upper quadrant.A targeted grayscale and color Doppler left ultrasound was performed for the palpable area of concern. In the left breast 12:00 location 5 cm from nipple there is a 1.6 x 2.4 x 1.2 cm well-circumscribed lobulated mass with internal vascularity consistent with the known fibroadenoma. This mass has not significantly changed in size since ultrasound 5/26/2015 when it measured 1.4 x 2.1 x 1.2 cm and ultrasound 11/17/2014 when it measured 1.7 x 2.0 x 1.3 cm, accounting for differences in technique.
No significant change in bilateral benign morphology masses. The left-sided mass has previously undergone FNA and proven to be fibroadenoma. Morphology and sonographic findings of the right mass favor a fibroadenoma as well.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.