Patient is a 55-year-old female who presents for for the evaluation of the focal asymmetry seen in bilateral breasts seen on the prior screening mammogram dated 8/26/2015. Bilateral MLO and spot compression of both breasts Were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma composed of scattered fibroglandular elements, unchanged in pattern and distribution.A 7 mm focal asymmetry identified on the screening mammogram in the left breast upper-outer quadrant persist on the diagnostic spot compression. Asymmetry in the medial right breast disperses into normal breast tissue.With physical exam, no discrete mass was palpated. Focused ultrasound demonstrates a 8 x 4 x 7 mm heterogeneous oval mass with calcifications and a few cystic components in the left breast at 2:00 location, 1 cm from the nipple. This likely represents a clustered cyst.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months to evaluate stability of a clustered cyst. Results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).