Ms. Cowden is a 44-year-old female with recently diagnosed left breast cancer and prominent left axillary lymph nodes. She presents today for repeat ultrasound evaluation of these lymph nodes. A targeted left axillary ultrasound was performed. Two lymph nodes are identified in the left axilla. -The first lymph node measures approximately 1.5 x 0.6 cm with uniform cortical thickness measuring up to 0.3 cm and preserved fatty hilum. There is normal hilar vascular flow identified.-The second adjacent lymph node measures 0.9 x 0.6 cm with uniform cortical thickness measuring up to 0.3 cm and preserved fatty hilum. There is normal hilar vascular flow identified.
Two mildly prominent left axillary lymph nodes, which are not typically suspicious in appearance. These are likely reactive given the sonographic appearance and recent history of multiple biopsies. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.