Per outside hospital report, patient underwent MRI of the neck to follow a benign tongue mass. Report noted a left axillary node with the largest measuring 15 mm, nonspecific in appearance. Most recent bilateral screening mammogram from 10/20/2014 at Advocate Christ Center was benign. MAMMOGRAM: Two standard and implant displaced views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. Retropectoral silicone implants are present bilaterally. The breast parenchyma is composed of scattered fibroglandular density. No dominant mass, suspicious microcalcifications or areas of architectural distortion in the left breast. Benign appearing lymph nodes are projected over the left axilla.LEFT ULTRASOUND:Targeted grayscale and color Doppler ultrasound of the left axilla was performed for the clinical area of concern. There is a 1.9 x 0.6 x 2.3 cm normal morphology lymph node with fatty hilum and uniform cortical thickness, could correspond to findings on MRI neck 04/06/2015. The remainder of the left axilla is unremarkable.
Benign left axillary lymph node as described. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.