66 year old female who was recalled from screening mammogram for asymmetry identified in the right inferior breast. Mammogram: An ML, MLO view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Small subcentimeter oval focal asymmetry in the lateral right breast is unchanged. Two subcentimeter focal asymmetries identified in the right lower inner quadrant which persist on spot compression views.Ultrasound: Targeted right lower inner quadrant ultrasound was performed that showed a septated cyst in the right breast 6:30 o'clock position measuring 6 x 3 mm and a simple cyst at 5:00 position measuring 3 x 3 mm. No suspicious solid mass noted.
2 new benign focal asymmetries in the right breast correspond to a septated cyst and a simple cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.