64 y.o. diabetic male with multiple medical problems complains of a right breast lump.
Do you need to perform ultrasound?
Yes No
Yes
Gynecomastia is present bilaterally, more prominent on the right. A small round mass is present in the upper outer right breast, which corresponds to the palpable finding. Any time a mass is seen in a male patient, an ultrasound is indicated. (It is just RARE!)