Ms. Cathleen Neeley is a 57 years old female with left breast cancer (1:00 ID C and 11:00 and DCIS). She presents today for evaluation of imaging response to chemotherapy. On physical examination, a mass is palpated in the left upper outer breast, at the site marked by the physician.A targeted left ultrasound was performed for the left upper outer breast palpable area of concern, left axilla and left upper inner breast. --Index lesion in the left breast with a biopsy clip, 1:00 position, 12 cm from the nipple, now measuring 1.4 x 1.5 x 1.2 cm, previously 1.8 x 1 x 1.1 cm, has slightly decreased in size and appears more heterogeneous.--Satellite lesion in the left breast with a biopsy clip, 10:00 position, 4 cm from the nipple (reported as 1:00 lesion with MRI guided biopsy), measuring 0.8 x 0.7 x 1.2 cm.--There is redemonstration of the multiple prominent lymph nodes in the left axilla,, grossly unchanged in size and morphology from the prior study. For example, the largest lymph node now measures 2.8 x 0.9 x 0.8 cm, previously 2.8 x 1 x 1 cm.
--Slightly decreased to stable size of the left breast index mass measuring 1.4 x 1.5 x 1.2 cm (previously 1.8 x 1 x 1.1 cm). --Stable multiple prominent left axillary lymph node. Results and recommendations were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.