49-year-old female with history of right breast invasive ductal carcinoma status post lumpectomy in June 2016, now presents with left breast pain x 3 weeks. Per ordering clinician, there is a palpable abnormality in the left breast. The patient states that the site of left breast pain corresponds to the area of palpable abnormality. A targeted left breast ultrasound was performed for the patient’s area of concern and in the area of palpable abnormality as marked by the ordering clinician. There is a 0.5 x 0.5 cm vague hypoechoic area in the area of concern. This has no internal vascularity. Note is made that her recent MRI was negative in the left breast, including at this site.
A 0.5 x 0.5 cm vague avascular hypoechoic area in the left breast, corresponding to the area of palpable abnormality and left breast pain. Given this appearance and the recent negative MRI, the finding is considered low suspicion and a 6-month follow-up ultrasound and surgical clinic follow-up physical exam can be considered if physical exam findings are also of low suspicion.Case was discussed with Dr. Jaskowiak and her team will communicate a follow up plan to the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).