Visit note (b)(6) 2020 hpi: new palpable lesion /bump bilateral breast lump or mass in breast - about a month ago she started using a suction machine creates negative pressure over tissues to, allegedly, increase lymphatic flow and reduce risk of cancers.She used in on her breasts which caused pain and swelling, but she kept using it because the company told her this was normal.Pain and swelling became worse and she stopped using it a week ago.Swelling and pain have since improved.She is worried that she now has breast cancer.Breast exam - 6 cm smooth, round, firm, tender mass over top portion of left breast inferior edge about 2 cm from areola - irregular 4 to 5 cm breast mass in same area of right breast, also firm mammogram (b)(6) 20 impression: right breast: developing asymmetries with breast edema are likely posttraumatic.Probably benign.Bi-rads; recommend diagnostic mammogram and ultrasound in 3 months.In addition, recommend clinical follow up for the site of concern, and management based on clinical findings.Left breast: diffuse breast edema is likely posttraumatic.Probably benign.Bi-rads; recommend breast ultrasound in 3 months.Us (b)(6) 2020 impression: breast us (b)(6) 2020, right breast: developing asymmetries with breast edema are likely posttraumatic; left breast: diffuse breast edema is likely posttraumatic.Fda safety report id#: (b)(4).
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