Ms. Farrell is a 20 year old female presenting with a palpable mass in her left breast. She reports a family history of breast cancer in her grandmother. On physical examination, a mobile mass is palpated in the left breast upper-outer quadrant.A targeted left breast ultrasound was performed for the palpable area of concern. In the left breast, 2:00 position, 5 cm from the nipple, there is a hypoechoic macrolobulated mass with internal flow. This palpable mass measures 2.1 x 1.2 x 1.6 cm.
2.1 cm lobulated mass in the left breast corresponding to the palpable concern, which most likely represents a fibroadenoma. Surgical consultation is recommended for this palpable concern. Results and recommendations were discussed with the patient.Patient already has an appointment scheduled with her breast surgeon today.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.