BILATERAL BREAST ULTRASOUND EXAMINATION
INDICATION FOR STUDY: Right breast upper outer quadrant
periareolar region nipple discharge.
Previous MRI from 12/29/2011 and mammogram from 12/08/2011.
FINDINGS: The right and left breasts were studied
in a clockwise fashion. There is concern
for solid appearing mass in the retroareolar region, one seen at the 6 o’clock
position, which measures approximately up to 8 mm and a second at approximately
the 7 o’clock position measuring up to 6 mm.
There is a calcification noted at the 2 o’clock position measuring 2
mm. The remainder of the right breast
shows no other solid or cystic lesions.
In the left breast, there is a small 2 mm calcification in the left
breast. There are no other solid or
cystic lesions in the left breast. The
remainder of the evaluation shows no other gross abnormality. Given the patient’s history and prior
studies, if there is any further concern, biopsy may be considered.
IMPRESSION: Two solid lesions in the right breast as
discussed above measuring 6-8 mm at the 6 and 7 o’clock positions in the
breast. The possibility of malignancy
cannot be excluded. These two solid
lesions are noted in the right breast and there is no other significant
abnormality in the remainder of the right or left breast clearly identified on
the ultrasound. Please see comments
above.
BI-RADS Clinical Assessment
Category 4 Suspicious abnormality – biopsy should be
considered.
Thank you for the referral.
XXXXXXXX, M.D.
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