Ultrasound performed to follow-up on MRI findings: possible satellite lesions. A targeted left ultrasound was performed for the area of known malignancy and potential satellite lesions. The index malignancy is well seen, today measuring 2.1 x 2.1 cm. Additionally, located about 8 mm medial to the index malignancy, at the 11:30 position, is a hypoechoic mass measuring 1.4 x 0.7 cm. This correlates positionally and in size to the superior-medial satellite seen on MRI. At the 9:00 position, a vague hypoechoic area with apical vascularity measuring 5 x 5 mm may be a correlate to the inferior satellite, though this is less certain.
1.4 cm sonographic finding is a clear correlate to the superior medial satellite lesion. Vague 5 mm hypoechoic area may be a correlate for the inferior satellite lesion. The patient is on schedule for ultrasound-guided biopsy.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.