47-year-old female with palpable painful right breast lump. The patient reports a history of recurrent cysts. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. Multiple new round circumscribed masses are identified in both breasts, including the area of the patient's palpable complaint.ULTRASOUND
Multiple simple cysts in both breasts. The largest symptomatic cyst(s) in the right breast are amenable to ultrasound-guided aspiration, which was discussed with the patient and will be considered. Otherwise, she may return for routine annual screening mammogram. In view of dense breast tissue, tomosynthesis would be useful at the time of next screening mammogram. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.