Patient is a 47-year-old female who presents for a ultrasound examination of the enlarged lymph nodes in the right axilla found on the recent screening mammogram. She reports recent history of cold and she started on the dietary pill recently. A right axillary ultrasound was performed . The left axillary ultrasound was performed for comparison. Multiple prominent right axillary lymph nodes with some mild cortical thickening are noted and measure up to 18 x 7 cm in diameter. There is no hilar replacement. Central hilar flows are present. Benign-looking lymph nodes are also noted in the left axilla.
Prominent lymph node in the right axilla, likely reactive in nature given patient's recent history of infection. Follow-up ultrasound of the right axilla in 6 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).