28-year-old female with a nontender palpable lump in the right breast for 2 weeks. A targeted right ultrasound was performed in the 2:00 position of the medial upper right breast approximately 3 cm from the nipple. On physical exam in this area, a non-tender mass was palpable. By ultrasound of this region, a oval circumscribed hypoechoic mass measuring 1.1 x 2.3 cm with internal vascular flow was identified.
2.3 cm right breast mass could be a fibroadenoma. However, surgical consultation for consideration of palpably guided sampling is recommended to exclude malignancy. Results and recommendations were discussed with the patient who agreed with the plan.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.