48-year-old woman with known suspicious mass in the left breast presents second look ultrasound of MR detected mass in the right breast. On review of MRI, there is an enhancing mass in the right breast posterior depth central to the nipple near the 6:00 position, for which second look ultrasound was recommended. The mass measures up to 1.6 cm on MRI.A targeted right ultrasound was performed for the area of concern. In the right breast 6:00 position 1 cm from the nipple, there is a oval lobulated hypoechoic mass measuring 1.8 x 0.8 x 1.3 cm with mild increased vascularity. This mass is indeterminate and correlates with the finding on MRI. Ultrasound-guided percutaneous biopsy is recommended.
Indeterminate right breast 6:00 position mass measuring up to 1.8 cm, correlating with finding on MRI. This mass was biopsied with ultrasound guidance today and findings are reported under a separate accession.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.