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PAST MEDICAL HISTORY: Prostate cancer (treated wi=
th
seed implantation) status post left inguinal herniorrhaphy and hemorrhoid
surgery.
MEDICATIONS: None.
SOCIAL HISTORY: The patient acknowledges tobacco =
and
alcohol use.
FAMILY HISTORY: Negative for GI malignancies,
inflammatory bowel disease, or peptic ulcer disease.
REVIEW OF SYSTEMS: The patient denies nausea,
vomiting, abdominal pain, fevers, chills, melena, bright red blood per rect=
um,
constipation, diarrhea, unintentional weight loss, or loss of appetite.
PHYSICAL EXAMINATION: The examination was carried out in both the
sitting and supine position. There is about a 1.5 to 2-cm pigmented lesion =
in
the lateral aspect of the left breast at about 4 o’clock. This is app=
roximately
two fingerbreadths lateral to the alveolar margin. The area is not tender.
There is no drainage. There is no actual mass appreciated. Even when there =
is
drainage, there is no bloody drainage from this area. There were no breast
masses in either breast. The nipples are normal and there is no evidence of
axillary adenopathy given the limitations of examination in this
patient’s body habitus.