65-year-old female presents as a callback from screening mammography for a retroareolar asymmetry in the left breast. No current breast complaints. Three standard views of the left 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(BiRads Density Category C), unchanged in pattern and distribution. A circumscribed asymmetry in the left breast 6:00 position persists with spot compression.ULTRASOUND
Clustered cysts in the left breast correlate with the mammographic asymmetry, and are favored benign. A six-month follow-up ultrasound is recommended to confirm stability.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).