57-year-old female patient call back from screening mammogram for new mass in the right upper inner quadrant. History of left breast cyst aspiration. Maternal aunt diagnosed with breast cancer at age 65 and maternal grandmother with ovarian cancer at age 74. DIAGNOSTIC MAMMOGRAM: An ML 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, unchanged in pattern and distribution. Again seen is a focal asymmetry in the upper inner quadrant of the right breast with associated calcifications, which has been present since 2008. This focal asymmetry in question dispersed on spot compression views. An additional subjacent 5 mm lobulated asymmetry in the 3 o'clock position of the right breast was seen on standard views and persisted on spot compression views. This asymmetry was targeted for ultrasound. Few benign calcifications are again seen.DIAGNOSTIC ULTRASOUND: Targeted right breast ultrasound was performed. In the 3 o'clock position of the right breast there is a small cluster of cysts that measures 4 x 3 x 3 mm.
Cluster of cysts in the 3 o'clock position of the right breast 2 cm from the nipple. Recommend repeat diagnostic right breast ultrasound in 6 months to ensure stability.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).