69-year-old female with suspicious calcifications in the upper inner quadrant of the right breast. Recent bilateral breast MRI demonstrated an enhancing mass in the upper outer quadrant of the right breast. A targeted right ultrasound was performed for the mammographic and MR-detected areas of concern.In the right breast, 2:00, 2 cm from the nipple, there is an ill-defined hypoechoic area with associated calcifications, measuring approximately 0.9 x 0.6 x 1 cm, corresponding to the area of calcifications in the upper inner quadrant seen on prior mammogram.In the right breast, 10:00, 2 cm from the nipple, there is a 0.7 x 0.3 x 0.6 cm hypoechoic mass, corresponding to an enhancing mass seen on breast MRI.
1. In the right breast, 2:00 position, there is an ill-defined hypoechoic area with associated calcifications, corresponding to the area of calcifications in the upper inner quadrant seen on prior mammogram. Patient is scheduled for stereotactic biopsy of these calcifications later today.2. In the right breast, 10:00 position, there is an indeterminate 0.7 cm hypoechoic mass, corresponding to an enhancing mass seen on breast MRI. Ultrasound-guided core biopsy of this mass will be performed later today.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.