52-year-old woman for 12 month follow up of probably benign 5 mm oval mass in right breast
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So our next patient is a 52-year-old woman.
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For a follow-up of a probably benign
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five millimeter oval mass in the right breast.
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And this is the 12-month follow-up exam.
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So it's always important to go back and check
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your prior exams, find out when did this start?
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You know, are we now at one year or two years?
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What are we following?
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You know, which thing is being
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considered probably benign.
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It's always good to know and go back
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and check and make sure that there
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hasn't been any change over time.
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And so here's our patient's diagnostic
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mammogram, CC and MLO views.
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And we're following a
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five millimeter mass in the right breast.
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And we'd go through both mammograms
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and their tomosynthesis views,
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just to make sure that there's nothing
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new, and then we'll look with, with
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ultrasound at the area of interest.
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I'm just going to pull up her ultrasound.
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So this is in the right breast, 8 o'clock
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position, 4 centimeters from the nipple, and this
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is the 5-millimeter hypoechoic mass that we're
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following, and it was not changing over time.
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And this may be a little
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complicated cyst or fibroadenoma.
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But we go back and look at other exams over time.
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This was her previous exam showing the same mass.
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And I think we had one other, there was
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a cluster of cysts here, but then this
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was the mass that was recommended for
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six-month follow-up, looking the same.
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So we'll go back through and just make sure that
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the area of interest was the same every time.
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And it was in her case,
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and this was the one-year follow-up.
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We didn't have quite two years of follow-up.
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42 00:01:57,540 --> 00:01:59,670 So we're going to follow up one more time
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with the diagnostic bilateral mammogram and
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targeted right breast ultrasound in one year.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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