Should I wait for follow up.

It would seem so. I'm thinking I should get a second opinion. I don't think I would be as worried if there was no lymph node involvement

LIMITED RIGHT BREAST ULTRASOUND Findings: Focused sonographic evaluation in the region of palpable concern, at the 3–4:00 axes of the retroareolar right breast, demonstrates a circumscribed, parallel, mixed cystic and solid nodule at the 3:00 axis, measuring approximately 1.0 x 0.4 x 0.5 cm, demonstrating slight edge refraction with no abnormal internal vascularity. Areas of central internal echogenicity and possible layering debris level suggest possible complicated cyst. Focused sonographic evaluation of the right axilla, in the region of palpable concern, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.5 x 0.8 cm with preserved, echogenic fatty hilum and vascularity. No abnormal cortical morphology or pathologic enlargement by size criteria. IMPRESSION: 1. Complicated cyst at the 3:00 axis of the retroareolar right breast corresponds to the palpable concern. Imaging appearance is likely benign, however follow-up right breast ultrasound in 6 months is recommended to ensure stability, which has been scheduled. 2. Benign-appearing right axillary lymph node. ULTRASOUND EXTREMITY LIMITED - LEFT AXILLA Indication: Left axillary lump. Findings: Focused sonographic evaluation of the region of palpable concern, at the left axilla, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.6 x 0.9 cm, similar in appearance to the right axillary lymph node, with preserved echogenic, fatty hilum and normal vascularity. No abnormal cortical thickening or pathologic enlargement by size criteria. IMPRESSION: Palpable concern at the left axilla corresponds to a appearing left axillary lymph node. All imaging findings were reviewed in person with the patient and her husband at the time of the examination. BI-RADS 3–probably benign; short interval follow-up right breast ultrasound suggested.

Dense breast tissue, limiting the sensitivity of mammography. No mammographic evidence of malignancy. Sonographic evaluation to follow. LIMITED RIGHT BREAST ULTRASOUND Findings: Focused sonographic evaluation in the region of palpable concern, at the 3–4:00 axes of the retroareolar right breast, demonstrates a circumscribed, parallel, mixed cystic and solid nodule at the 3:00 axis, measuring approximately 1.0 x 0.4 x 0.5 cm, demonstrating slight edge refraction with no abnormal internal vascularity. Areas of central internal echogenicity and possible layering debris level suggest possible complicated cyst. Focused sonographic evaluation of the right axilla, in the region of palpable concern, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.5 x 0.8 cm with preserved, echogenic fatty hilum and vascularity. No abnormal cortical morphology or pathologic enlargement by size criteria. IMPRESSION: 1. Complicated cyst at the 3:00 axis of the retroareolar right breast corresponds to the palpable concern. Imaging appearance is likely benign, however follow-up right breast ultrasound in 6 months is recommended to ensure stability, which has been scheduled. 2. Benign-appearing right axillary lymph node. ULTRASOUND EXTREMITY LIMITED - LEFT AXILLA Findings: Focused sonographic evaluation of the region of palpable concern, at the left axilla, demonstrates a reniform shaped, hypoechoic lymph node measuring 1.5 x 0.6 x 0.9 cm, similar in appearance to the right axillary lymph node, with preserved echogenic, fatty hilum and normal vascularity. No abnormal cortical thickening or pathologic enlargement by size criteria. IMPRESSION: Palpable concern at the left axilla corresponds to a appearing left axillary lymph node. All imaging findings were reviewed in person with the patient and her husband at the time of the examination. BI-RADS 3–probably benign; short interval follow-up right breast ultrasound suggested. 5 year breast cancer risk assessment 0.5 % Lifetime breast cancer risk assessment 17.2 % Breast cancer risk category Low (<15%) NarrativeBILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM Indication: Palpable lump at the 3:00 axis of the right breast in the periareolar region. Additional palpable masses within both axillary regions. Family history of breast cancer in the patient's mother, diagnosed at age 40. Comparison: None available. Technique: Bilateral CC and MLO projections were obtained, along with spot compression right CC and MLO views. CAD software was utilized during image interpretation. Findings: The breast tissue is dense, limiting sensitivity. No suspicious mass, architectural distortion or suspicious calcifications are identified. Palpable markers are visible overlying the inferomedial right breast and both axillary regions. Multiple small lymph nodes are visible

Thanks everyone. I really appreciate the advice.