The patient submitted outside mammograms and ultrasound dated 6/17/14 and priors back to 10/9/12. Submitted outside study was compared to the current mammogram dated 8/26/15. The focal asymmetry in the right upper outer breast is stable compared to prior mammograms. At a similar location on the submitted ultrasound images, several adjacent cysts are seen. The left breast masses are not clearly visualized on prior studies (though the more posterior of the left breast masses is seen variably on some prior images--suggesting a waxing and wanning cyst).
Left breast masses should be further evaluated with spot compression and ultrasound. Right breast finding is stable and does not require additional work up at this time.  BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required.