Mr. Brinkley is a 57-year-old female with biopsy proven malignancy in the right breast. She presents for MR-directed ultrasound for the focal non-mass enhancement in the left breast at 3:00 position found on the MRI dated 9/19/2015. Ultrasoud for left retroareolar region is also requested by Dr. Jaskowiak, as the patient reports a history of brownish nipple discharge on the left. A targeted left ultrasound was performed for the MRI area of concern. In the left breast, 3:00 location, 4 cm from the nipple, there is a 10 x 7 x 8 mm hypoechoic mass, which corresponds to the MR findings. The mass is centered in a dilated duct, which extends to the nipple. There are no abnormal findings other than dilated ducts in the left retroareolar region. At 5:00 location, 3 cm from the nipple, there is a 17 x 8 x 11 mm simple cyst, which correlates with the cyst on the MRI.
10 mm hypoechoic mass with dilated duct in the left breast, correlating with the nonmass enhancement on the MRI and likely representing a papilloma. Ultrasound guided biopsy of this mass was performed after this study.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.