Targeted ultrasound of the right upper breast at 1:00 and 11:00 is requested by the clinical service. Personal history of known right breast cancer. A targeted right ultrasound was performed for the areas requested at 1:00 and 11:00. Multiple masses are seen in the right upper breast. Two adjacent masses in the right breast near the 1:00 position measure 9 x 7 and 9 x 8 mm. Overall extent of these 2 masses near 1:00 is 2.4 cm, a slightly larger extent than can be measured on the prior study. An additional possible superficially located mass near the right 1:00 scar measures 7 mm. Additionally, an area of hypodensity and shadowing near the right breast 11:00 scarring is nonspecific, though similar to the prior study.
Multiple right upper breast masses as described above compatible with known malignancy. Treatment recommendations have been made by the breast surgery team.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.