Ms. Dalrymple is a 68 year old female with a personal history of benign right cyst aspiration in 2013. Family history of breast cancer in mother, diagnosed at the age of 48. She currently presents for ultrasound evaluation of a palpable mass was detected by Dr. Jaskowiak. Upon physical exam of the left breast, a site has been marked on the skin at the area of palpable concern. Targeted left breast ultrasound was performed. In the left breast 10:30 location, approximately 10 cm from the nipple, there is a oval hyperechoic mass measuring 1.1 x 0.5 x 0.8 cm. There is no associated vascularity. Sonographic findings are compatible with fat necrosis.
Benign fat necrosis of the left breast. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. All results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.