Ms. McGhee is a 27-year-old female presenting with palpable lump in the right breast, and complaining of transient bilateral breast pain over the last few months. Family history is positive for breast cancer in paternal cousin diagnosed at 40 years of age. Mobile smooth lump is present within the right upper outer quadrant on the physical exam.A targeted ultrasound was performed for the patient’s area of concern in the right breast at the 11:00 position, approximately 5 cm from the nipple, which revealed no focal sonographic correlate. No suspicious cystic or solid mass is identified.Targeted ultrasound was also performed of bilateral breasts in the 3:00, 6:00, 9:00, 12:00 and retroareolar positions. There is no solid or cystic mass identified.
Normal sonographic evaluation of bilateral breasts. Palpable area of concern is associated with dense fibroglandular tissue within the right axillary tail. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings. All results and recommendations were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.