59 year old with newly diagnosed right IDC grade 3. Recent CT demonstrated abnormal lymph node in the right axilla. History of left lumpectomy and sentinel lymph node biopsy in 2011 for IDC and DCIS. She completed radiation and chemotherapy and is currently on Arimidex. History of right lumpectomy for carcinoma in 1997. Ultrasound of the right axilla is performed. There are multiple abnormally enlarged lymph nodes with effaced hila in the level 1 of right axilla. The largest one measures 22 x 11 mm, locating upper part of the right axilla.
Multiple suspicious lymph nodes in the right axilla, level 1BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.