Ms. Denise Johnson is a 61 year old female with a personal history of a newly diagnosed cancer in her right breast, 10:00 position, 8 cm from the nipple. She presents today for ultrasound and possible ultrasound-guided biopsy of the additional enhancement demonstrated on the recent breast MRI. A targeted right ultrasound was performed for the area of concern on the MRI. In the right breast, 10:00 position, 8 cm from the nipple, there is an 1.3 x 1.7 cm hypoechoic mass with irregular margin and a biopsy clip, compatible with the biopsy proven malignancy. There is no suspicious finding anterior to this index mass in the upper outer right breast to correlate with the additional enhancement demonstrated on the MRI breast dated 5/13/2016. Therefore, ultrasound-guided biopsy is not performed today.
No sonographic correlate for the additional enhancement anterior to the index cancer demonstrated on the MRI breast. Patient will be scheduled for MRI guided biopsy of the additional enhancement demonstrated only on the MRI. Results and recommendations were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.