Ms. Krich is a 54 year old female with known IDC and suspicious-appearing right axillary lymph nodes on outside MRI examination. Targeted grayscale and color ultrasound examination of the right axilla.Multiple abnormal right axillary lymph nodes are visualized, some of which appear with internal calcifications. For reference, a right axillary node with mild internal calcifications measures1.2 x 0.9 x 1.1 cm. Another reference node with internal calcification measures 2.1 x 1.1 x 1.8 cm. Three additional abnormal lymph nodes without calcifications by ultrasound are adjacent to the reference nodes mentioned above.
Multiple suspicious-appearing lymph nodes within the right axilla as above. The patient was sent to breast surgery clinic upon completion of ultrasound examination and results were immediately relayed to the breast surgery clinic.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: B - Surgical Consultation.