Ms. Mills is a 55-year-old woman, part of the Alan Penn research protocol, presenting for an MR-directed ultrasound of the right breast. Upon physical exam at the MR directed area of concern, no discrete abnormality is palpated.A targeted right ultrasound was performed at the area of concern detected on the MRI in the lower outer quadrant. In the right breast 8:00 position, approximately 7 cm from nipple, there is a 0.7 x 0.7 x 0.8 cm reniform shaped mass with hilar vascular flow, consistent with a lymph node. This correlates with the finding on MRI. No abnormal sonographic findings are seen.
Benign intramammary lymph node correlating with the MRI-detected mass in the right breast. No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. 