0:01

This is a companion case, but this

0:03

is sort of the ultrasound companion.

0:05

This is a patient who had had bilateral

0:07

breast reduction and came in with a palpable

0:10

area of concern in the right breast.

0:13

And the image to the left is what we saw initially.

0:16

This was an echogenic oval mass

0:18

with circumscribed margins.

0:21

And it measured just over 2 centimeters, 2.1 centimeters

0:28

by, let's see, it's 2.1 by 0.8 by 2.4 centimeters.

0:34

This was right in the area

0:35

where she had had her reduction.

0:37

It has this echogenic appearance that looks like...

0:41

it's probably fat necrosis, but it was palpable.

0:45

We recommended to do a short-term follow-up,

0:48

a three-month follow-up, to see how this finding

0:51

evolved over time rather than doing a biopsy.

0:54

On the right is her three-month follow-up

0:56

exam, and you can see that this finding

0:58

has decreased in size pretty significantly.

1:00

Now it measures 1.4 by 0.8 by 2.1 centimeters.

1:10

This is quite a bit smaller in size.

1:12

And we know cancer doesn't decrease in size,

1:14

but necrosis will decrease in size over time.

1:17

So given this change over time where it's decreasing

1:21

in size, I feel confident that this is a benign

1:24

finding, and we're able to change it at that follow

1:27

up appointment from the BI-RADS 3 to a BI-RADS 2.