Ms. Manning is a 38 year old female with known malignancy of the right breast with metastatic right axillary lymph node. Recent MRI detected an additional area of linear non-mass enhancement in the right lower outer breast. She presents today for MR-directed ultrasound. Targeted right breast ultrasound was performed for the MRI area of concern.In the right breast 8:00 location, approximately 6 cm from the nipple, there is an irregular hypoechoic area identified measuring approximately 1.7 x 0.6 x 0.8 cm. There is moderate associated vascularity.
1.7 cm hypoechoic area in the right lower outer breast, likely corresponding to MRI-detected area of linear non-mass enhancement. If breast conservation therapy is desired, an ultrasound guided biopsy with clip placement is recommended for further evaluation. All results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.