62 year old female status post left mastectomy in 2006 for invasive ductal carcinoma with DCIS presents for follow-up. Patient received hormonal therapy. Patient has had a right mastopexy in 2006. No current breast complaints. History of breast cancer in maternal cousin diagnosed at age 56 and paternal cousin diagnosed at age 55. Mammogram shows a circumscribed 3 mm oval subdermal asymmetry in the inferior aspect of the right breast. This has been stable since at least 2011. A targeted right ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified.
No sonographic evidence for malignancy. There is no sonographic correlate to the stable mammographic asymmetry. The asymmetry is benign based on morphology and stability. The lack of sonographic correlate suggests that it is probably a focal superficial island of glandular tissue. Please see accompanying mammography report. The results were discussed with the patient at the completion of the exam.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.