My Ultrasound Report

Hi. I am almost 32 weeks pregnant.  I had redness, swelling and pain in my left breast that left a hard area of my breast that decreased to a lump.  Went to OB who sent me for u/s of left breast.  They ended up aspirating the complex cyst and I got more redness, swelling and pain after this procedure.  This has all resolved.  Been to breast surgeon-no cyst is seen on U/S at this time.  Cultures were negative. Cytology not done (not sure why not) I don't understand what the area of increased echogenity means?

Thanks in advance. 

Targeted ultrasound of the palpable finding 11:00 position 11 cm from the

nipple demonstrates an area of increased echogenicity measuring approximately

2 cm. There is an irregular tubular hypoechoic area within this region

measuring 11 mm in greatest dimension. There is no blood flow within the

hypoechoic area. The appearance suggests the possibility of fluid. Ultrasound

of the left axilla was also completed and demonstrates prominent lymph nodes.

Overall findings with clinical history suggest the possibility of infection.

Ultrasound-guided aspiration was recommended. Permission to proceed with

aspiration is included on the patient's prescription. The patient elected

same-day ultrasound-guided aspiration.

Following the discussion of risks, benefits, and alternatives to the procedure

informed consent was obtained. Final verification was performed. Using aseptic

technique, 5 cc 1% lidocaine for local anesthesia, an 18-gauge needle less

than 1 cc of hemorrhagic fluid was aspirated. Additional fluid could not be

aspirated and there was residual hypoechoic area following aspiration. Fluid

was sent for aerobic and anaerobic culture.

Surgical consultation and clinical evaluation is recommended. The patient was

referred to the breast care center. Follow-up ultrasound in 2 weeks is

recommended. If the palpable finding persists at that time mammogram would

also be recommended.

IMPRESSION: Complex mass in the region of clinical concern with prominent left

axillary lymph nodes; given clinical history possible infection is considered.

Fluid sent for aerobic and anaerobic culture. Surgical consultation and

clinical evaluation is recommended. Follow-up ultrasound in 2 weeks is

recommended. If there is a persistent mass at that time mammogram and biopsy

would be recommended.