23-year-old female presents to evaluate a self palpated mass in the left breast 12:00 position 1.5 cm from the nipple. Patient indicates it has increased in size and is palpable since 2011. No prior workup has been performed at University of Chicago. No family history of breast cancer A targeted left ultrasound was performed for the palpable area of concern. On physical examination, a 2 cm mobile palpable nontender mass is identified in the left breast 12:00 position. Ultrasound demonstrates an oval lobulated hypoechoic mass measuring 2.2 x 1.5 x 2 cm with minimal peripheral blood flow most likely a fibroadenoma.
Palpable abnormality in the left breast 12:00 position most likely a benign fibroadenoma however given that the mass has increased in size as per the patient, surgical consultation with possible FNA is recommended. Findings and recommendations were discussed with the patient in detail.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.