55-year-old female presents as a callback from screening mammography for bilateral asymmetries, for which comparison to outside prior mammograms was recommended. These prior studies were not available at this time. Family history of breast cancer (maternal mother, aunt, and grandmother; paternal grandmother). Three standard views of both breasts with bilateral spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B).Asymmetric glandular tissue in the right breast disperses upon spot compression.Left retroareolar circumscribed mass and upper outer breast asymmetries persist with spot compression.ULTRASOUND
1. Benign left breast retroareolar cyst correlating with a mammographic asymmetry. Other questioned asymmetries are most consistent with normal breast parenchyma. 2. No evidence of malignancy in either breast. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Additionally, submission of prior studies for comparison was recommended. These findings were discussed with the patient at the time of the examination. Given the patient's strong family history of breast cancer, consultation with the University of Chicago Medicine Cancer Risk and Prevention Program is recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.