57-year-old female with history of right breast mass found in 1/15. Ultrasound findings suggested a cluster of cysts. This is a 6 month followup diagnostic mammogram. Three standard views of the right breast and 2 spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. At the 2:00 position approximately 4 cm from the nipple there is redemonstration of a 7 mm focal asymmetry which is stable to slightly smaller in size when compared to the original asymmetry that triggered this follow up on the prior study.
Stable to slightly smaller right breast asymmetry corresponding to a cluster of cysts previously demonstrated on ultrasound. Given the stability to slightly improved appearance, a benign etiology is favored. A diagnostic mammogram is recommended in 6 months to confirm stability. Patient's scheduled annual left breast mammogram can also be obtained at this time. Results and plan discussed with patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).