Left breast:
Irregular, lobulated, hypoechoic mass measuring 2.0 x 3.0 cm demonstrated at 11 o'clock, approximately 3 cm from the nipple, in concordance with the mammographic finding, palpable.
BIRADS 4B: moderate suspicion for malignancy.
Left axilla:
two lymph nodes demonstrated, with preserved sonographic structure; the larger one measures 10x28 mm.
BIRADS 2: normal finding.
Impression: mass, as described.
BIRADS 5: highly suspicious for malignancy.
Recommendations: Ultrasound-guided Tru-Cut® biopsy recommended for the left breast mass.