26 year old with palpable right breast masses. Per the patient, these do not feel different in size compared to the time of the prior outside ultrasound. A targeted right ultrasound was performed for the patient’s area of concern. Two solid masses and a cyst are seen. Near the right breast 12 o'clock position approximately 4 cm from the nipple, a 1.7 x 1.6 cm oval circumscribed mass is seen. Closer to the nipple and slightly more medially, a 1.4 x 1.0 cm mass with similar typically benign morphology is present. This is probably the mass labeled 12 o'clock on the prior outside ultrasound. Additionally, slightly lateral to the larger of the two solid masses is a 6-mm cyst.
Two likely benign masses in the right breast. The larger of the two solid masses is not seen on the images that were previously submitted. Surgical consultation is recommended. Palpably guided tissue sampling versus ultrasound guided biopsy can be considered to confirm a benign etiology, especially if there is a change detected on physical exam.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.