63 year old female who was recalled from screening mammogram for 5 mm oval circumscribed mass in the right lower inner quadrant, mid depth, close to the skin, could represent a tortuous blood vessel or benign mass. Mammogram: An ML view and two 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(BiRads Density Category A), unchanged in pattern and distribution. 5 mm round circumscribed mass located in the right lower inner quadrant persist on spot compression views. No associated calcifications.Ultrasound: Targeted right lower inner quadrant ultrasound was performed. 4 x 3 mm oval hypoechoic mass is identified at 4:00 position of the right breast. No peripheral blood flow is noted.
Indeterminate 5 mm hypoechoic mass in the right lower inner quadrant. Outside hospital mammograms cannot be obtained. 6 month follow-up versus ultrasound-guided possible cyst aspiration/core biopsy were discussed with the patient. Final plan of possible cyst aspiration/core biopsy was deferred by the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.