Recent MRI (8/28/15) showed non-mass enhancement in the right breast, for which MR directed ultrasound is recommended. History of right mastectomy for IDC and DCIS 8/2012 with implant placement. With physical exam, Thickening of the tissue is present at the site of enhancement on MRI. Focused ultrasound detects a hypoechoic lesion measuring 25 x 4 mm at 6:00 position in the right breast, corresponding to the MR findings. Increased blood flow is seen in this lesion.
MR directed ultrasound detected a sonographic correlate with the MR enhancing lesion at 6:00 position in the right breast. Ultrasound guided biopsy is recommended. Results and recommendations were discussed with the patient. Results were discussed with Dr. Jaskowiak.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.