Ms. Bloom is a 25 year old female with a personal history of bilateral breast cysts. Patient reports that her physician felt diffuse lumpiness of her breasts on physical exam particularly in the right upper outer quadrant, thought to possibly be from fibrocystic disease. Patient states that her boyfriend also felt a palpable area in the right lower outer breast. Family history of breast cancer in her maternal great grandmother. Targeted ultrasound of the right upper outer breast showed dense breast tissue. No solid mass or cysts. Focused ultrasound of the area of palpable abnormality in the right lower outer breast was then done, which showed a few benign appearing lymph nodes.
Patient's area of palpable concern in the right lateral breast showed dense breast tissue and a few benign appearing lymph nodes. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually when the patient turns 40. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.