Ms. James is a 47-year-old female with biopsy-proven triple negative left breast cancer status post lumpectomy in March 2015. She had a recent MRI examination on 05/08/2015 which demonstrated three benign morphology masses in both breasts. Upon physical exam at the MRI directed areas of concern, no discrete masses are appreciated.Targeted ultrasound was performed for the MRI directed areas of concern.- In the left breast 7:00 location, there is an oval hypoechoic mass measuring 0.6 x 0.6 x 0.6 cm. There is minimal to no vascularity associated with this mass.- In the left breast retroareolar location, there is a lobulated hypoechoic mass measuring 1.3 x 0.8 x 0.8 cm.- In the right breast 3:00 location, there is an additional oval hypoechoic mass measuring 0.6 x 0.3 x 0.5 cm.All three of these masses correspond in size, appearance, and location to the MRI-detected masses. They are most compatible with benign fibroadenomas.
Bilateral benign morphology masses, most likely representing benign fibroadenomas. A short term 6 month MRI versus ultrasound follow-up examination is recommended to confirm stability of these findings. All results and recommendations were relayed to the patient and to Dr. Jaskowiak. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).