Fullness in the left axilla. FNA performed or earlier positive for malignancy in the left breast. A targeted left axillary ultrasound was performed. 3 lymph nodes are seen in the left axilla. The largest and most suspicious of these is located inferiorly and somewhat deep in the axilla and measures 1.5 x 1.8 cm. Normal hilar fat is not seen within this node. There is also an eccentrically thickened lymph node located more superiorly which measures up to 1.7 cm and has mild nonhilar blood flow, also somewhat suspicious. An additional normal morphology lymph node measuring 2.5 cm is seen further superiorly.
One highly suspicious and 1 moderately suspicious left axillary lymph node. The findings were discussed with the patient and Donna Christian. The surgical service will consider ultrasound-guided lymph node biopsy.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: T - Take Appropriate Action - No Letter.