During a DOT physical of a 60 yo male for a truck driver's exam, the NP notices swelling of both breasts with some tenderness on exam. On further exam of the right breast, the NP finds a fixed mass under the areola. In a conversation with the patient post exam, which plan best fits the NP's next action?
A - Explain the findings to the patient and explain there is nothing to do
B - Explain the findings to the patient and order a mammogram of the right breast and refer to surgery for a fine-needle aspiration
C - Explain to the patient that this happens in some men and follow up if not better in 3 months
E - Explain the findings to the patient and order an ultrasound of the breast bilaterally