50 year-old female with a history of bilateral breast lumps and fibrocystic disease. She has a history of bilateral benign breast biopsies and cyst aspirations. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Bilateral waxing and waning masses are present. Scattered benign calcifications are unchanged in both breasts.Whole bilateral ultrasound was performed. Multiple simple and complicated cysts are present in both breasts. The largest cyst is a complicated cyst, measuring 18 x 14 mm at 12 o'clock position in the left breast.
No mammographic evidence of malignancy. Multiple simple and complicated cysts in both breasts. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.