25-year-old female with bilateral breast masses. A targeted bilateral breast ultrasound was performed at the site of the patient's known breast masses thought to represent fibroadenomas. In the left breast at 10:00, 5 cm from the nipple there is a 1.2 x 0.7 x 1.7 cm hypoechoic smoothly marginated mass which previously measured 1.5 x 0.8 x 1.6 cm.In the right breast at 2:00, 5 cm from the nipple there is a small hypoechoic mass measuring 5 x 5 x 2 mm which previously measured 7 x 4 x 5 mm.
Bilateral masses likely representing fibroadenomas are stable for least 2 years. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually beginning at age 40. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.