59-year-old female presents for 6 month follow-up of high probability benign right breast asymmetries. Personal history of endometrial carcinoma. No family history of breast cancer. MAMMOGRAM: Three standard views of the right breast, additional right CC view, and multiple spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Multiple circumscribed masses are again noted in the lower inner right breast, unchanged. A focal asymmetry is present within the upper outer right breast, posterior depth, which persists on spot compression imaging. ULTRASOUND: On physical examination, no palpable abnormality is identified. Targeted right ultrasound was performed for the mammographic area of concern. A 0.7 x 0.5 x 0.5 cm circumscribed, hypoechoic lesion is present at the 11:00 position of the right breast, 10 cm from the nipple, without increased vascularity. This is felt to represent a cyst.
High probability benign cyst at the 11 o'clock position of the right breast. Follow up mammogram and ultrasound is recommended in 6 months to assess stability. The patient will be due for annual bilateral mammogram at this time. Results recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).