SYB Case 2. By: Amy. History. 63 y/o female History of left breast infiltrating duct carcinoma s/p mastectom y in 1996 and chemotherapy ER negative, PR negative, HER-2/Neu negative.
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Focal opacity in the right anterior lung base and small opacity in the left lateral lung base - likely atelectasis but cannot r/o metastases
nodule in the left upper lobe - decreased in size
Interim decrease in size in all but one metastatic lung nodules.
Left sternal lesion with increased sclerosis
Lesions involving anterior aspect of the left second and third ribs are slightly more prominent on this exam
Primary tumor (T)
Regional lymph nodes (N): Clinical classification
Regional lymph nodes: Pathologic classification (pN)- Classification is based upon axillary lymph node dissection +/- sentinel lymph node dissection.
Distant metastasis (M)