Ms Lear is a 45-year-old female with a personal history of left breast cyst aspirated in 2006, dense breasts, and apparently enlarged left axillary lymph node noted on recent whole breast ultrasound. Patient presenting for further sonographic evaluation of the left axilla. No palpable abnormality. A targeted left axillary ultrasound was performed. A total of three normal lymph nodes with normal morphology and hilar vascularity were identified in the left axilla. No abnormal axillary lymph nodes are identified.
No abnormal axillary lymph nodes identified by ultrasound. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in July 2017.