74-year-old with bilateral biopsy-proven breast cancer present for second look ultrasound for right breast mass seen medial to the index right breast mass on recent MRI. On physical exam, there is a palpable hard mass in the right upper-outer quadrant, representing the patient's known index right breast cancer.A targeted right ultrasound was performed for the area of concern. There is a 5 x 6 x 9 mm (CC x AP x TV) antiparallel hypoechoic mass with indistinct margins in the right breast 12:30 position 10 cm from nipple, correlating with the findings on MRI. There is associated distortion of the Cooper's ligament. No internal vascularity.
5 x 6 x 9 mm mass in the right breast 12:30 position 10 cm from nipple, correlating with the findings on MRI. Ultrasound-guided biopsy is recommended. Findings and recommendations were discussed with the patient at the time of the exam.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.