49 year-old woman called back for left breast asymmetry and calcifications presents for follow up. MAMMOGRAM: An ML view, spot compression and spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3 (7 images). The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. The focal asymmetry in the left inner breast persists partially on additional views. An ultrasound is recommended for further evaluation.Loosely grouped calcifications in the left upper outer breast have typically benign morphology with some calcifications layering on the lateral view, suggestive of milk of calcium. Their distribution is also of a typically benign appearance.  ULTRASOUND:On physical exam, there is no palpable abnormality. In the left breast and o'clock position 3 cm from nipple, there is an oval, tubular anechoic lesion consistent with a cyst. Internal vascularity is present. This measures approximately 12 x 2 x 6 mm and correlates with the findings on mammogram. No solid mass is appreciated.
Left breast cyst and benign calcifications. 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.