59 year old female with known recurrent right breast cancer post neoadjuvant chemotherapy. Personal history of bilateral breast cancer (right breast - DCIS/1997; left breast IDC/2011). There is an ill-defined hypoechoic mass at 10:00 position, measuring 24 x 13 mm, with mild blood flow. A marker clip is identified anterior to this mass. In the right retroareolar region (10:00 position), there is a dilated duct with internal solid lesion with mildly increased vascularity, measuring 15 x 4 mm, corresponding to today's MRI findings.In the right axilla, there are 2 abnormal lymph nodes, one (11 mm) with marker clip, and the other (14 mm) located superior and deep.
Remaining right breast tumor and 2 abnormal morphology lymph nodes in the right axilla. BIRADS: 6 - Known cancer.RECOMMENDATION: ND - Diagnostic Mammogram.