A patient submitted outside study for review. Submitted for review are a bilateral mammogram and ultrasound from 7/23/2015 and performed at the WomanCare P.C. Breast and Bone Density Center, Arlington IL . Two standard views of both breasts and ML and two spot compression views of left breast were obtained. The breast parenchyma is extremely dense. A BB marker in the left breast upper outer quadrant corresponds to a palpable abnormality/thickening. There is extensive bilateral scattered calcifications noted. Most of the calcifications layer on the ML view suggestive of milk of calcium. No obvious mass is noted on spot compression views.Ultrasound: In the right breast are multiple cysts most of which demonstrate calcifications, especially the cyst in the 9:00 position. Clustered cyst is noted in the right breast 12:00 position which measure 1.0 x 0.4 cm. In the left breast are multiple simple, septated cysts containing hyperechoic calcifications in the left upper outer quadrant and the largest septated cyst in the left breast 1:00 position measures 10 x 7 mm.
1.The area of thickening/palpable in the left breast upper outer quadrant most likely corresponds to fibrocystic changes. 2.Bilateral scattered breast calcifications and multiple, septated and clustered cysts in both breasts. 3.Given the absence of prior mammograms for comparison, a six-month follow-up mammogram is recommended to demonstrate stability of the calcifications. 4.A right breast ultrasound is also recommended in the right breast to demonstrate stability of the clustered cyst.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - No Letter.