Ms. Plesniak is a 29-year-old with a personal history of bilateral breast reduction at age of 19. She presents today with palpable abnormality in the right breast lower outer quadrant. Family history of breast cancer in paternal grandmother. On physical exam, there is a palpable mass in the right breast 8:00 location corresponding to the site of clinical concern.A targeted right gray scale and color Doppler ultrasound was performed for the palpable area of concern. In the right breast 8:00 position 6 cm from nipple, there is a 1.4 x 0.8 x 1.0 cm hypoechoic mass with rim calcification and marked posterior acoustic shadowing. This corresponds to the palpable abnormality and is consistent with an oil cyst. No suspicious solid or cystic masses are seen elsewhere in the right lateral breast.
1.4 cm benign oil cyst corresponding to the palpable abnormality in the right breast. No sonographic evidence for malignancy. As long as the patient's physical exam remains unchanged, annual screening mammogram is recommended, starting at the age of 40. The finding and recommendations were discussed with the patient at a time of the exam.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.