Known right breast cancer with metastatic lymph node on neoadjuvant chemotherapy. A targeted right ultrasound was performed for the known malignancy and metastatic node. The right breast cancer now measures 2.1 x 1.9 x 1.8 cm. Previously, this measured 3.6 x 2.7 x 2.4 cm on the June MRI. The original outside sonographic measurement was up to 2.9 cm. The known metastatic right axillary lymph node is well seen with clip artifact. This measures 2.1 x 1.3 x 2.1 cm. Previously, on MRI from June this measured up to 2.5 x 2.5 x 2.2 cm. The original outside ultrasound measurement of the node was up to 2.7 cm.
Some interval decrease in ultrasound measurements compared to the June MRI and prior outside ultrasound. A current MRI might provide more accurate comparisons for interval change if that is clinically needed.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.