42 year old female who was recalled from screening mammogram for new left breast masses. No family history of breast cancer. LEFT DIAGNOSTIC MAMMMOGRAM: An ML view and three spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is redemonstration of a new 1.0 cm mass within the posterior upper inner left breast, which persists on spot compression imaging. Additionally, there is redemonstration of a 1.0 cm mass within the outer slightly inferior left breast, which persists on spot compression imaging.LEFT ULTRASOUND: On physical examination, no palpable lesions are identified.At the 10 o'clock position of the left breast, 4 cm from the nipple, there is a well-circumscribed anechoic cyst with posterior acoustic enhancement measuring 0.7 x 0.6 x 0.7 cm. A second simple appearing cyst is noted deep to this measuring 0.9 x 0.7 x 1.1 cm. This lesion likely corresponds to the new mammographic abnormality seen within the upper inner left breast. No significant vascularity associated with these lesions on Doppler imaging.At the 4 o'clock position of the left breast, 6 cm from the nipple, there is a circumscribed nearly anechoic cyst with posterior acoustic enhancement within the deep breast measuring 1.0 x 1.0 x 1.0 cm. This lesion is felt to correspond to the new mammographic mass seen within the outer slightly inferior breast. No significant vascularity is associated with this lesion on Doppler imaging.
Simple left breast cysts, corresponding to the new masses visualized on mammogram.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.