Ms. Byrd is a 43-year-old female presenting for short term ultrasound follow-up for a high probability benign fibroadenoma of the right breast. On physical exam, an oval mobile mass is palpated inferior to the nipple.Targeted right ultrasound of the right breast, 6:00 position 3 cm from the nipple, reveals an oval circumscribed parallel hypoechoic shadowing mass measuring 2.4 x 1.2 x 2.1 cm and demonstrating mild internal vascularity, stable in size and sonographic appearance dating back to ultrasound study of 2009.
Stable right breast mass, with imaging appearance most characteristic of a fibroadenoma. Considering the stable imaging appearance of this mass dating back to 8/17/2009, patient may return for a bilateral diagnostic mammogram in April 2017. No need for repeat ultrasound evaluation.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.