Male 54 years old with history of lymphoma and new palpable bilateral axillary adenopathy. A bilateral breast ultrasound was performed for the palpable areas of concern. Multiple enlarged lymph nodes at varying depths are noted bilaterally.In the right lower axilla the largest lymph node measures 3.6 x 1.8 x 2.6 cm without increased vascularity.In the right upper axilla the largest lymph node in measures 5.1 x 2.6 x 2.4 cm without increased vascularity.In the left lower axilla the largest lymph node measures up to 3.7 cm without increased vascularity.In the left upper axilla the largest done measures 4.7 x 3.0 x 3.3 cm without increased vascularity.
Multiple enlarged axillary lymph nodes bilaterally (in the lower axillary tail and higher axillary tail). Palpable masses in the bilateral lower axillary regions are necrotic axillary lymph nodes. The patient is scheduled to follow-up with surgery for excisional biopsy. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.