46-year-old female presents for evaluation of a palpable mass in the left breast. A patient submitted outside study for review. Submitted for review are performed at . For comparison,Left unilateral diagnostic mammogram with ultrasound dated 3/30/2015Left breast ultrasound-guided core biopsy with postprocedure mammogram dated 4/10/2015 are available.Comparison mammogram dated 8/9/14 Left unilateral diagnostic mammogram dated 3/30/2015 demonstrates a palpable marker overlying and irregular ill-defined partially obscured hyperdense mass measuring 2.6 cm in the left upper outer quadrant posterior depth. The breast parenchyma is heterogeneously dense, without any suspicious masses or microcalcifications in the right breast. Normal morphology left axillary lymph nodes are noted. No associated calcifications are noted on spot compression views. Ultrasound demonstrates irregular multilobulated hypoechoic mass with apical blood flow measuring 1.8 x 1.9 x 2 cm at 2:00 position of the left breast. This was subsequently biopsied with a clip placement. Postprocedure mammogram demonstrates clip to be in the center of the mass. Pathology report has not been submitted but as per MRI report it is papillary carcinoma.
Biopsy-proven unifocal cancer in the left breast corresponding to the palpable abnormality.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.