24-year-old with right nipple discharge and multiple masses seen on recent MRI. Targeted ultrasound for the smaller right retroareolar masses is requested. A targeted right ultrasound was performed for the MRI areas of concern. Targeted ultrasound at the right breast 12 o'clock and 7 o'clock positions demonstrated additional intraductal masses. At the 12 o'clock position an intraductal mass measures 10 x 7 mm. At the 7 o'clock position an intraductal mass measures 5 x 5 mm.
Multiple masses in the right breast may represent papillomas. The patient's imaging findings were discussed with Dr. Chhablani. Based on all the findings, the largest mass seen sonographically on the prior ultrasound and on MRI will be biopsied under ultrasound guidance.BIRADS: 3 - Probably benign finding.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.