Patient with Li Fraumeni syndrome presents for MRI detected ultrasound of a possible fibroadenoma in the left breast. A targeted left ultrasound was performed for the central left breast area of MRI detected mass. There is a benign appearing area in the left breast 2:00 position measuring 7 x 6 mm. This is oval, avascular, hypoechoic and circumscribed, and may represent a benign area of breast tissue versus a benign morphology mass. Throughout the remainder of the left central breast, no cystic or solid mass was appreciated.
Benign ultrasound appearance, with a questionable ultrasound correlate to the MRI finding. Given the benign ultrasound today, and previous probably benign MRI findings, a six-month follow-up MRI is recommended to ensure stability of the MRI finding.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).