Ms. Patti Tyc is a 53 years old female with a personal history of palpable lump in the left breast of 2 weeks duration. History of cysts. MAMMOGRAM: Three standard views of both breasts and 2 additional spot compression 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 triangular marker is placed at 12 o'clock position of left breast, indicating the area of palpable concern. A multilobular mass or multiple adjacent masses are noted in the 12:00 position of the left breast, corresponding to the palpable concern. Another smaller focal asymmetry is noted in the 6:00 position of the left breast. In the right breast upper outer quadrant, there is a focal asymmetry noted in the posterior depth, likely an additional cyst given her history of cysts. Elsewhere, stable benign masses scattered in each breast are noted. ULTRASOUND:On physical examination, a mass is palpated in the left breast 12:00 position.A targeted left ultrasound was performed for the palpable and new mammographic areas of concern. In the left breast, 12:00 position, 3 cm from the nipple, there is redemonstration of the clustered cyst, now measuring 2.5 x 2.0 x 2.7 cm (previously 1.8 x 1.7 x 1.2 cm), corresponding to the palpable and mammographic concern. In the left breast, 6:00 position 3 cm from the nipple, there is a 0.8 x 0.6 x 0.8 cm cyst, corresponding to the mammographic finding.A targeted right ultrasound was performed for the new mammographic area of concern. In the right breast, 10:00 position, 5 cm from the nipple, there is a 0.8 x 1.1 cm cyst, corresponding to the mammographic finding.
No mammographic evidence of malignancy. Multiple cysts in both breasts. 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. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.