Ms. Salem is a 15 year old female status post left breast lumpectomy in February 2014 for a borderline Phyllodes tumor. She presents today for a short-term ultrasound follow-up to exclude recurrent disease. Upon physical exam of the left breast, a surgical scar is identified. No palpable masses are appreciated.Targeted left breast ultrasound was performed. Scar tissue and fibrosis is identified without discrete mass. No suspicious sonographic findings seen to suggest residual/recurrent tumor.
No sonographic evidence for residual or recurrent tumor. The patient is scheduled for a follow-up appointment with Dr. Chhablani on 6/11/2015. All results were discussed with the patient and her mother. BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.