Ms. Jadotte is a 55-year-old female presenting with bilateral breast tenderness and self palpated lumps. She has a personal history of bilateral cyst aspiration. Right breast: Upon physical exam at the patient's area of concern in the right breast, no discrete mass is appreciated. A right breast ultrasound is performed for the patient's area of concern. In the right breast 8 o'clock location, approximately 3 cm from the nipple, a normal 4-mm lymph node is identified. There is no suspicious cystic or solid mass seen.Left breast: Upon physical exam of the patient's area of concern in the left breast, no discrete mass is appreciated. A left breast ultrasound is performed for the patient's area of concern. In the left breast 3 o'clock location, approximately 3 cm from the nipple, a 4 mm simple breast cyst is identified. There is no suspicious cystic or solid mass seen.
Benign intramammary lymph node in the right breast. Simple breast cyst in the left breast. No sonographic evidence for malignancy. Patient should follow-up with her primary care physician for bilateral breast tenderness as clinically warranted. As long as the patient's physical examination remains normal, bilateral screening mammogram is next due in Sept 2015. All results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.