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65-year-old female presenting from an outside facility with recently biopsied left axillary mass and node demonstrating grade 3 invasive ductal carcinoma (ER+, PR-, HER2+). Evaluate extent of disease.
Summary of Prior Imaging:
Mammography: Incompletely visualized left axillary mass with circumscribed margins measuring at least 38 mm.
Ultrasound: Targeted ultrasound of the left axilla demonstrates a markedly abnormal lymph node with cortical thickness of 12 mm, but a preserved fatty hilum. There is an adjacent oval mass with indistinct margins measuring up to 28 mm.
Breast MRI: NA
What is the overall BI-RADS assessment for this case?
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