Ms. Egan is a 55-year-old female with recent diagnosis of bilateral breast cancer status post neoadjuvant chemotherapy. She presents today for ultrasound evaluation of both breasts. A targeted right breast ultrasound was performed at the mammographic/MRI areas of concern. - In the right breast 10:00 location, approximately 6 cm from the nipple, there is re-visualization of an irregular hypoechoic mass measuring 16 x 7 x 21 mm, previously measuring previously 19 x 12 mm on ultrasound and 24 x 14 x 15 mm on MRI. A surgical clip is noted in the central aspect of this mass corresponding to the biopsy-proven malignancy at the 10:00 location. - In the right breast 2:00 location, no sonographic correlate is identified to correspond to the MRI findings, at site of biopsy-proven DCIS. No surgical clip is visualized in this region either.
Interval decrease in size of biopsy proven malignancy in the right upper outer breast. Continued follow-up with surgery is recommended. All results and recommendations were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.