42-year-old with history of excisional biopsy of papilloma in the right breast in 2010. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAPHY: Three standard views of both breasts and 2 spot compression 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. Stable postsurgical changes in the right retroareolar region. There are 3 new clustered asymmetries in the left upper outer quadrant, which persist on spot compression. No suspicious microcalcifications in either breast. TARGETED LEFT BREAST ULTRASOUND: Targeted left upper outer quadrant ultrasound demonstrated a cluster of circumscribed anechoic to hypoechoic foci measuring up to 7 x 5 x 5 mm without internal vascularity; findings compatible with multiple simple cysts.
Findings consistent with left upper outer quadrant multiple simple cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.