A forty-nine-year-old reports ten months without menses and…

A forty-nine-year-old reports ten months without menses and new hot flashes. She has no headaches or galactorrhea and denies pregnancy risk. Vital signs are normal. She is anxious and wants to be sure nothing important is missed. She asks if there is anything that should be done today rather than waiting until the next visit. Which is the most appropriate next step?

A forty-two-year-old schedules an appointment after discover…

A forty-two-year-old schedules an appointment after discovering a new breast lump during a shower one week ago. She denies pain, nipple discharge, or skin changes. She had a screening mammogram ten months ago that was normal. Family history is negative for breast cancer. Examination confirms a discrete, mobile mass. Which imaging strategy is most appropriate at this time?