65-year-old female with dense breasts, past medical history of right benign breast mass excision at age 19 and Left breast benign appearing mass. On exam she has extremely dense breast, bilateral . Right no discrete masses on Left UOQ 1.5 cm smooth mass feels like fibroadenoma. A whole right breast ultrasound and targeted left upper outer quadrant breast ultrasound was performed. There is a circumscribed hypoechoic mass in the left upper outer quadrant in the 1:00 position 4 cm from the nipple measuring 1.6 x 0.5 cm and likely represents a benign fibroadenoma. Normal glandular tissue was identified in the right breast. An additional well-circumscribed hypoechoic mass was identified in the right upper outer quadrant in the 5:00 position at 6 cm from the nipple measuring 1.8 x 0.5 cm and is likely a benign fibroadenoma.
Bilateral benign-appearing masses, most compatible with benign fibroadenomas. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomosynthesis as well as a screening whole breast ultrasound is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.