54-year-old female recalled from baseline screening mammogram for an ovoid circumscribed mass in the upper outer quadrant of the right rest at mid depth. Family history of breast cancer in the patient's mother. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Ovoid asymmetry persists on the spot compression view. The appearance is compared patible with a mass or cyst at the 2:00 position. Ultrasound: Targeted ultrasound performed for the area of mammographic concern at the 2:00 position of the right breast. There is a a 3 mm simple benign cyst at the 9:00 periareolar position at superficial depth.There is a 0.8 x 0.4 x 0.6 cm cyst located approximately 8 cm from the nipple along the 9:00 radian at mid to posterior depth. On transverse imaging, there are internal echoes which cannot be eliminated.
Highly probable benign cyst at the 9:00 position of the right breast. Ultrasound-guided aspiration and repeat mammogram recommended both to confirm that this is a simple cyst and 2 prove that this explains the asymmetry on the mammogram. The results and recommendations were discussed with the patient at the completion of the exam, and the patient elected to schedule the procedure. She was instructed that our nurse will contact her to set up an appointment.BIRADS: 3 - Probably benign finding.RECOMMENDATION: H - Percutaneus Biopsy/Aspiration.