44-year-old female recalled from screening mammogram for bilateral breast masses. No family history of breast cancer. Bilateral ML views and 3 right spot compression views and 2 left spot compression views of bilateral breast masses 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), unchanged in pattern and distribution. Within the right upper outer breast there is a well-circumscribed 8 mm mass within the right upper outer quadrant. There is a focal asymmetry within the right breast 6:00, which persists on spot compression images.Within the left breast 12:00, posterior depth, the previously identified focal asymmetry does not persist on spot compression views.A targeted ultrasound was performed of the right breast at 10:00 and 6:00. Within the right breast at 10:00, 5 cm from the nipple, there is a cluster of cysts measuring 0.9 x 0.6 x 0.7 cm. Within the right breast at 7:00, 5cm from the nipple, there is an additional cluster of cysts measuring 0.7 x 0.4 x 0.9 cm. A targeted ultrasound of the left breast at 12:00 identified few simple cysts, the largest measuring 0.6 x 0.4 x 0.4 cm. No suspicious mass is identified.
There are clustered cysts within the right breast at 10:00 and 6:00, for which unilateral ultrasound is recommended in 6 months. No mammographic or sonographic evidence of malignancy within the left breast. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). 3