46 year old woman with history of cysts and fibroadenomas seen in left breast on prior ultrasound. A targeted left ultrasound was performed for the previously seen masses on ultrasound. Left breast implant is noted.In the left breast, 8'o clock position 2 cm from the nipple, 2 contiguous anechoic masses with posterior acoustic enhancement are seen measuring 8 x 5 x 5 mm, unchanged in size and appearance from the prior examination.In the left breast, 8'o clock position 4 cm from the nipple, 3 contiguous hypoechoic circumscribed masses are seen measuring 3 x 3mm, 3 x 3mm, and 2 x 2mm, unchanged in size and appearance from the prior examination.
Stable cysts and fibroadenomas of the left breast. No evidence of malignancy. Followup with annual diagnostic mammogram and possible ultrasound is recommended and due in about 6 months. Results and recommendations discussed with patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.