49-year-old female with right upper outer anterior circumscribed mass on screening mammogram of 10/4/2016, recalled for further mammographic and sonographic evaluation. Full field right ML, with additional CC and ML spot compression views were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Within the right upper outer anterior breast, a circumscribed partially obscured isodense oval mass measuring 1.0 cm is reidentified.RIGHT BREAST ULTRASOUND:Targeted ultrasound of the right upper outer breast, 10:00 position 2 cm from the nipple, was performed and revealed few similar adjacent circumscribed homogenously hypoechoic parallel masses with posterior acoustic enhancement spanning 1.8 x 1.2 cm. The largest mass measures 1.0 x 0.7 x 1.2 cm and presents internal vascularity.
Few circumscribed oval right upper outer anterior masses, largest measuring 1.2 cm. Ultrasound-guided biopsy of the largest component recommended for further evaluation.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.