A patient submitted outside study for review. Submitted for review are mammogram 7/29/2016 and ultrasound 7/29/2016 performed at St. Elizabeth Medical Center. For comparison, mammogram 7/7/2015 and prior, ultrasound 7/25/2015 and prior are available. MAMMOGRAM 7/29/16:The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There is a oval, circumscribed benign morphology mass at the 6:00 position within the right breast, not significantly changed from prior. Given its central location, this lesion could correspond to palpable lesion felt by patient.ULTRASOUND 7/29/16:A heterogeneous, largely hypoechoic lesion has slightly increased in comparison to prior examination the 12:00 position about 3 cm from the nipple now measuring 11 x 6 x 9 mm, previously 5 x 3 mm. Given its central location, this lesion could correspond to the mammographic abnormality which could correspond to the palpable abnormality.
No mammographic evidence of malignancy. Benign-appearing mass visualized at 6:00 position by mammography. At 12:00, 3 cm from the nipple is a benign morphology heterogenous, hypoechoic lesion that has slightly increased when compared to prior examination. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram with ultrasound is recommended in 6 months. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).