45 year old present for follow up ultrasound after abnormal mammogram. A targeted right ultrasound was performed for the mammographic area of concern. There are several adjacent hypoechoic areas in the posterior depth of the right breast near 10:00. This may represent papillomatosis versus focal glandular tissue. The appearance would be unusual for malignancy.
Hypoechoic areas in the right outer breast are more than likely benign. Follow up options were discussed with the patient at length. Given her strong family history of cancer, she has elected for ultrasound guided biopsy for more definitive evaluation of this area. BIRADS: 3 - Probably benign finding.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.