Ms. Almendras is a 44-year-old female presenting with a palpable right breast lesion x7 years; fluctuates with menstrual cycle. Family history of breast cancer in maternal aunt and great aunt. Upon physical exam, nodular breast tissue is identified.A targeted right breast ultrasound was performed for the patient’s area of concern. Normal fibroglandular tissue is identified in the right upper outer quadrant. There is no solid or cystic mass identified.
Normal fibroglandular tissue in the right upper outer quadrant. No sonographic evidence for malignancy. Patient can resume annual screening mammography, due next in May 2017. All results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.