Ms. Cotten is a 72-year-old female presenting for follow-up ultrasound for cluster of cysts in the right breast. No personal or family history of breast cancer. Physical examination of the right breast demonstrated no palpable abnormality.A targeted right ultrasound was performed for the sonographic area of concern. In the right breast 1:00 position 1 cm from the nipple is an anechoic area with internal septation measuring 1.2 cm x 0.5 cm x 0.9 cm previously 1.2 cm x 0.5 cm x 1.5 cm. No internal vascularity is evident. Findings are most compatible with cluster of cysts. There is no solid mass identified.
Findings most compatible with a benign cluster of cysts. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. At that time, if everything remains stable, patient can resume annual screening mammography. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (6 Months).