61-year-old with known breast cancer and palpable left supraclavicular nodes. A targeted left ultrasound was performed for the area marked by the clinical service in the supraclavicular region. There are multiple adjacent small masses. Several of these are highly compatible with abnormal morphology lymph nodes. These measure up to 9 mm. The largest mass is a mixed echogenicity mass with increased vascularity measuring 2.0 x 1.9 cm. This could represent an additional lymph node replaced by tumor.
Multiple masses at the site of palpable concern most compatible with abnormal lymph nodes. The patient is followed by Dr. Jaskowiak.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.