Ms. Collins is a 60 year old female with a personal history of leukemia who presents for evaluation of a persistently palpable right axillary mass which was previously shown to represent a benign lymph node as recently as 10/15/2015. On physical exam at the patient's area of concern, a small movable mass is identified in the right axillary region.Targeted right breast ultrasound was performed in the right axillary region. A single normal appearing lymph node is noted with normal hilar vascular flow, measuring 1.3 x 0.5 cm.
Single normal-appearing lymph node in right axillary region. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due next in April 2017. All results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.