40-year-old female. Callback from 4/28/2015 screening mammogram for focal asymmetries in the right breast. RIGHT BREAST DIAGNOSTIC MAMMOGRAM: A standard 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. Multiple circumscribed masses are seen in the right outer upper breast, for which ultrasound was done for further evaluation. A coarse cluster of calcifications in the right upper outer breast are likely within a degenerating fibroadenoma.RIGHT BREAST ULTRASOUND: An oval circumscribed parallel mass with coarse calcifications 3 cm from the nipple at 11 o'clock is consistent with a fibroadenoma. Immediately next to this fibroadenoma is a 1.3 x 0.8 x 1.3 cm circumscribed oval parallel hypoechoic mass without internal vascularity that may represent a complicated cyst or a noncalcified fibroadenoma. Similar appearing benign morphology two adjacent masses are identified at 11 o'clock 1 cm from the nipple. They measure 1.6 x 0.8 x 1.3 cm and 1 x 0.6 x 0.9 cm.
Multiple benign morphology masses in the right upper outer breast that most likely represent noncalcified fibroadenomas or complicated benign cysts. No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.