63-year-old female patient with right breast asymmetry on screening mammogram. History of two benign left breast biopsies in 2002 and 2003. Family history of breast cancer in paternal aunt diagnosed at unknown age. RIGHT DIAGNOSTIC MAMMOGRAM: An ML view and 3 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. A 6-mm oval mass in the right lower inner breast persists on spot compression views.RIGHT BREAST ULTRASOUND: Targeted right breast ultrasound was performed. In the 5 o'clock position of the right breast 1 cm with from the nipple there is a septated cyst that measures 5 x 2 x 5 mm.
5 mm benign morphology mass in the right breast possibly corresponding to a benign septated cyst on ultrasound. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.