Ms. Dale is a 64 year old asymptomatic female presenting for whole breast ultrasound for dense breast screening. She has a personal history of multiple bilateral cyst aspirations in 2006, 2007, and 2009. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. Multiple anechoic lesions of varying sizes are seen bilaterally, compatible with simple cysts. However, in the left upper outer breast, 1:00 location, there is an oval hypoechoic lesion identified measuring 1.1 x 0.8 cm. This exam was interpreted by two radiologists.
(1) 1.1 cm lesion in the left upper outer breast. Dedicated left unilateral ultrasound is recommended for further evaluation. (2) No sonographic evidence for malignancy in the right breast .BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.