Call back from screening mammogram for multiple new masses in both breasts. On the recent screening mammogram, there are multiple masses in both breasts. Some are stable in comparison to the old mammograms. An ML view and two spot compression views of the left breast were performed. A focal asymmetry at 12:00 position in the left breast partially disperses. Whole breast ultrasound was performed for both breasts. There are multiple echogenic lesions in both breasts, likely corresponding to the multiple masses on mammogram. All of these lesions are located superficially, and mild increased blood flow is associated. The largest lesion is at 1:00 position in the right breast, measuring 20 x 8 mm, and at 10:00 in the left breast, measuring 14 x 7 mm. They are likely benign, such as fat necrosis. Short term follow up is recommended.
Multiple bening appearing lesions in both breasts, likely fat necrosis. Bilateral diagnostic mammogram in 6 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).