57 year old female who was recalled from screening mammogram for right breast mass. No family history of breast cancer. Right Breast Diagnostic 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Within the medial slightly upper right breast, there is redemonstration of a circumscribed mass measuring approximately 0.4 cm which persists on spot compression imaging.Right Breast Ultrasound: On physical examination, no palpable abnormality is identified.A targeted right ultrasound was performed for the mammographic area of concern. At the two o'clock radian of the right breast, 4 cm from the nipple, there is a clustered cyst measuring 0.5 x 0.4 x 0.9 cm, corresponding to the mass visualized on mammogram.
Clustered cyst at the two o'clock position in the right breast, corresponding to the mass visualized on prior mammogram. Left unilateral diagnostic mammogram and ultrasound is recommended in 6 months to assess stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.