Ms. Vaci is a 58 year old female who returns today for six-month follow-up of clustered cysts seen on ultrasound. She has a personal history of left breast cyst aspiration. Family history of breast cancer in her maternal aunt diagnosed at the age of 65. Upon physical exam at the sonographic area of concern, no discrete mass is appreciated.Targeted right breast ultrasound was performed. Again seen in the 3:00 position of the right breast approximately 2 cm from the nipple is a small cluster of cysts measuring 3 x 3 x 3 mm, unchanged from the prior exam.
Stable cluster of cysts in the right breast. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, due next in March 2016. All results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.