56-year-old male with history of chronic liver disease recently on spironolactone complaining of new bilateral nipple sensations and enlargement, and pulling sensation along the lateral aspect of the left breast. Family history is positive for premenopausal breast cancer in mother. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. Bilateral central subareolar glandular tissue extending into posterior adipose tissue in a fanlike configuration slightly asymmetric to the right, compatible with gynecomastia.Triangular marker overlying the left upper outer breast indicates area of palpable concern as indicated by the patient. There is no underlying correlating mammographic finding.LEFT BREAT ULTRASOUND:Targeted ultrasound of the left upper outer breast was performed in the area of concern as indicated by the patient.No solid or cystic mass was identified.
Bilateral gynecomastia. No evidence of malignancy in either breast. Suggest clinical correlation for potential causes of gynecomastia.  BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.