Ms. Jackson is a 51 year old female with a personal history of left breast lumpectomy and sentinel lymph node biopsy in December 2014 for IDC treated with chemotherapy at Trinity hospital. She presents today for ultrasound evaluation of axillary lymph nodes status post treatment. Upon physical exam of the left axilla, no discrete masses are appreciated. Surgical scars are identified on the skin.Targeted ultrasound of the left axilla demonstrates two normal appearing lymph nodes in the left axilla, adjacent to the surgical scar. These two lymph nodes measure 1.5 x 0.9 x 1.2 cm and 1.4 x 0.5 x 1.3 cm, respectively. There is normal hilar vascular flow with uniform cortical thickness. These correlate with the two benign-appearing lymph nodes identified on the recent MRI.
Benign appearance of two left axillary lymph nodes. No sonographic evidence of malignancy. Patient should continue to follow up with her surgical care team as clinically warranted.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.