Case contributed by Paresh K Desai
Diagnosis almost certain

Patient Data

Age: Adult

A smooth well-defined lesion is seen in the right breast.

Uniformly hypoechoic, transverse diameter > AP, posterior accoustic enhancement, no micro/ macrocalcifications.

Case Discussion

All features are consistent with a probable benign lesion (BIRADS III).

BI-RADS 3 carries a management recommendation of short-term follow-up. The recommendation should be for the modality or modalities that best demonstrated the initial finding.

While follow-up protocols differ across practices, a common schedule is at 6, 12, and 24 months. Once stability is documented for at least two, and at most three, years, the finding can be downgraded to BI-RADS 2 (benign). If the finding develops suspicious features, such as growth, non-circumscribed margins, or suspicious calcification morphology, then it should be upgraded to BI-RADS 4 or 5.

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