27-year-old with history of fibrocystic disease and body nipple discharge. Family history of breast cancer in her mother. A targeted bilateral ultrasound was performed for the areas of palpable concerning and the areas measured on the prior ultrasound. In the right breast 10:00 location, approximately 8 cm from the nipple the macrolobulated hypoechoic mass containing a clip measures 1.7 x 0.7 x 1.4 cm, previously 1.6 x 0.7 x 1.3 cm. There is minimal associated vascularity.In the right breast 12:00 location, approximately 3 cm from the nipple, there are two macrolobulated hypoechoic masses with minimal associated vascularity and similar characteristics to the biopsy-proven fibroadenomas. The more superficial mass measures 1.5 x 0.6 x 1.4 cm, the deeper mass measures 0.9 x 0.6 x 1.0 cm. Possible correlates are seen in retrospect on the recent breast MRI.In the left breast 11:00 location, approximately 2 cm from the nipple a macrolobulated hypoechoic mass measures 0.8 x 0.5 x 0.7 cm, previously 0.7 x 0.5 x 0.8 cm. There is minimal associated vascularity. This is a biopsy proved fibroadenoma.The clustered cysts seen on the prior ultrasound were redemonstrated, many additional similar cysts were seen bilaterally.
1.The bilateral biopsy-proven fibroadenomas are unchanged in size and sonographic appearance. 2.Two additional not previously documented masses in the right breast at the 12:00 position have possible correlates on MRI. These could represent fibroadenomas, six-month follow-up ultrasound of both breasts is recommended to ensure stability.Findings and recommendations were discussed with the patient and with Dr. Jaskowiak.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).