Left breast ADH underwent a recent MRI that showed areas of non-Mass enhancement in the left upper, outer quadrant, corresponding to the calcification seen on mammogram. Enhancing, lobulated mass right breast 12 o'clock position measuring 15 mm is noted for which second look ultrasound is recommended. Dr. Chhablani recommends a left breast second look ultrasound to evaluate any suspicious area that can be targeted by an ultrasound-guided biopsy. A targeted bilateral breast ultrasound was performed. Right breast 12 o'clock position does not demonstrate a correlate to the enhancing mass on MRI. Clip is identified in the left upper, outer quadrant from prior stereotactic biopsy. Hypoechoic area with calcifications are seen adjacent to the clip approximately, measuring 1.6 x 0.7 by 2.1 cm with increased blood flow.
No correlates identified to the enhancing mass seen on MRI in the right breast 12 o'clock position, MR guided biopsy is recommended.Suspicious hypoechoic area's with calcifications identified on ultrasound adjacent to the clip, ultrasound guided core biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.