47-year-old female with history of fibromyalgia and seronegative arthritis with borderline bilateral enlarged lymph nodes. History of right breast cyst excision. Family history of breast cancer in paternal grandmother. MAMMOGRAM: Three standard views of both breasts were performed with additional spot compression views of the left breast digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There is a new, oval, focal asymmetry in the left lower inner breast, posterior depth, best seen on the CC view measuring 13 mm. On spot compression CC view, this lesion persists. It is not well seen on spot compression ML view.The right breast is unremarkable.There are partially imaged prominent bilateral axillary lymph nodes.ULTRASOUND: A targeted left breast ultrasound performed in the area of the patient's mammographic abnormality. No suspicious masses or cysts were appreciated.
New asymmetry in the left lower inner breast, posterior depth best seen on CC view with most likely benign morphology and without sonographic correlate. A diagnostic mammogram of the left breast is recommended in 6 months. Results and plan were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).