Ms. Buziecki is 29-year-old female presenting for a follow-up right breast ultrasound of palpable area in the right outer breast. She has no current breast related complaints. Upon physical exam at the palpable area of concern, nodular tissue is identified.A targeted right ultrasound was performed for the palpable area of concern. In the right outer breast at the 9:00 position 2 cm from the nipple, there is revisualization of a hypoechoic area with biopsy clip now measuring 0.8 cm x 0.5 cm x 1.6 cm, previously 1.0 cm x 0.8 cm x 1.8 cm. No new solid or cystic lesion is identified in this region.
Stable to slight decrease in size of the palpable area of concern in the right breast, previously biopsied with benign results. A short-term 6 month follow-up ultrasound exam can be performed in July 2016. If sonographically stable at that time, a 1 year stability will have been documented and patient can then continue to follow-up with her primary care physician with clinical breast exams. All results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (6 Months).