Ms. Berry is a 42-year-old female presenting with clinical signs and symptoms of mastitis with associated enlarged intramammary lymph node and breast mass identified on imaging. Patient has now completed 7 days of antibiotics and returns today for a repeat ultrasound evaluation. Upon physical exam at patient's area of concern, subtle nodularity/tenderness is reidentified in the left upper outer breast. However, according to patient, this area has decreased in size compared to prior exam.A targeted left breast ultrasound was performed for the patient’s area of concern. -In the left breast 2:00 location, approximately 3 cm from the nipple, there is revisualization of a mixed echogenic lesion with internal calcifications now measuring 1.7 x 0.9 x 1.9 cm, previously measuring 2.0 x 1.1 x 1.8 cm.-In the left breast 2:00 location, approximately 5 cm from the nipple, there is revisualization of an intramammary lymph node now measuring 1.3 x 0.5 cm, previously measuring 1.2 x 0.9 cm. There continues to be marked hilar flow associated with this lymph node.
Interval decrease in left breast mass and left intramammary lymph node. If patient's clinical presentation is compatible with resolving mastitis, then a repeat breast ultrasound can be performed in 4-6 weeks to ensure complete resolution of imaging findings. If symptoms are completely resolved within 4-6 weeks, then no repeat imaging is necessary. All results and recommendations were relayed to the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: C - Clinical Correlation Needed.