51-year-old woman with biopsy-proven right upper-outer quadrant breast cancer presents for second look ultrasound for indeterminate right mass and left focus identified on staging MRI. A targeted right ultrasound was performed area of clinical concern. In the right breast 3:00 position 3 cm from the nipple, there is a mixed echogenicity mass with mild internal and apical vascularity, correlating to the mass seen on MRI. This mass measures 1.0 x 0.5 x 1.0 cm and is indeterminate. An ultrasound core biopsy is recommended.A targeted left ultrasound was performed for the area of the focus deep to the nipple. In the left breast periareolar region, unremarkable fibroglandular tissue is seen. No discrete solid or cystic masses are identified to correlate with the finding on MRI.
(1) Indeterminate right breast 3:00 position mass measuring up to 1.0 cm, correlating to the area of clinical concern identified on MRI. An ultrasound-guided core biopsy is recommended. This will be performed today and reported under a different accession.(2) No sonographic correlate to enhancing focus identified in the left periareolar region on MRI.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.