65-year-old woman with left breast calcifications presents for second look ultrasound for lesion found on recent MRI. A targeted gray scale and color Doppler left ultrasound was performed for the area of concern seen on MRI. In the left breast 3:00 position 4 cm from the nipple there is a small area of focally dilated ducts. Within a dilated duct is a 8 x 3 x 4 mm hypoechoic mass without internal vascularity, correlating to the abnormality on MRI and indeterminate. An ultrasound guided biopsy is recommended for further evaluation.
8 x 3 x 4 mm left breast mass is indeterminate. Ultrasound guided biopsy is recommended for further evaluation. Findings are recommendations were discussed with the patient at the time of the exam.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.