Ms. Ciochina is a 58 year old female presenting from outside hospital with a questionable sonographic lesion in the right periareolar region. She presents today for repeat ultrasound evaluation of this area. On physical examination, no discrete mass is palpated at the right breast periareolar region.A targeted right breast ultrasound was performed for the periareolar area of concern. There is no suspicious solid or cystic mass identified. Heterogenous shadowing from the nipple is seen, corresponding to the images obtained at the outside hospital.A targeted left breast periareolar ultrasound was performed solely for comparison. Very similar heterogenous shadowing from the nipple is again seen.
No sonographic evidence for malignancy. No additional workup is necessary for the right periareolar region. Of note, patient does have two clusters of calcifications in the right breast, for which stereotactic biopsy continues to be recommended for. All results and recommendations were discussed with the patient and Dr. Henry in the breast surgical clinic. The patient will follow up with Dr. Jaskowiak later today. BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.