40-year-old female with history of callback after baseline screening mammogram for left breast asymmetries. No reported family history of breast cancer. MAMMOGRAM: Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. In the left upper inner breast, anterior depth, there is an oval, circumscribed, mass measuring 11 mm. In the left upper outer breast, posterior depth, a second oval circumscribed mass is noted measuring 6mm.These lesions persist on spot compression views.ULTRASOUND: A targeted left breast ultrasound was performed in the area of mammographic abnormalities.In the left medial breast at the 10: o'clock position approximately 3 cm from the nipple, there is a anechoic oval lesion with internal septations and increased posterior acoustic enhancement measuring 8 x 3 x 5 mm. There is no increased internal vascularity.In the left upper outer breast at the 2 o'clock position approximately 6 cm from the nipple, two benign appearing intramammary lymph nodes are noted.The above lesions correlate with mammographic findings.
Benign left breast cyst and intramammary lymph nodes as above. No mammographic evidence of malignancy. As long as the patient's physical exam remains unchanged, annual follow-up with diagnostic mammogram is recommended. Results and plan discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.