Ms. ZELLA HARRIS is a 46 years old female who presents for further evaluation for masses seen in both breasts on screening mammogram. DIAGNOSTIC MAMMOGRAM FOR BILATERAL BREAST:ML and spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. There is well defined 28 mm mass with a few calcification in the upper outer right breast. There is a 16 mm mass in the posterior left upper outer breast. In addition, another 1.2 cm lobulated mass is noted anterior to 16 mm mass in the left upper outer breast. TARGETED ULTRASOUND OF BOTH BREASTS:Targeted ultrasound of both breasts were performed at the sites of mammographic concerns. In the right breast, 11:00, 12 cm from the nipple, there is a 16 x 16 x 21 mm well-circumscribed hypoechoic mass with internal flow and a few echogenic calcifications. This likely represents a fibroadenoma.In the left breast, 11:00 location, 12 cm from the nipple, there is a 10 x 6 x 10 mm slightly hypoechoic mass parallel to the skin, which correlates with the mammographic finding in the posterior left upper outer breast. The anterior mass in the left upper outer breast found on the mammogram is not seen on the ultrasound.
Probably benign findings in both breasts as described above. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).