Ms. Iannitelli is a 44 year old female with personal history of left lumpectomy in 2008 for invasive ductal carcinoma with nodal involvement, status post radiation and chemotherapy. She presents today for six-month follow-up of a probably benign finding in the right breast 9:00 position. On physical examination, no discrete mass is palpated at the area of interest in the right breast. A targeted right breast ultrasound was performed at the area of concern on the prior ultrasound and also at the patient's palpable concern from 6:00 to 11:00 location in the right breast. -Multiple simple cysts are noted in the outer right breast at the site of patient's palpable concern. The largest cyst measures up to 9 x 4 x 8 mm in the right breast at 10:00 location, 2 cm from the nipple. -Previously identified clustered cyst in the right breast 9:00 location, 2 cm from the nipple has slightly decreased in size and now measures 6 x 3 x 5 mm (previously measures 8 x 4 x 6 mm).
Slightly decrease in size of clustered cyst in the right breast 9:00 location. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months in order to confirm stability of these findings. All results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).