66 year old female who was recalled from screening mammogram for new focal asymmetry in the right upper outer breast with an adjacent partially circumscribed mass. 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 almost entirely fatty(BiRads Density Category A), unchanged in pattern and distribution. 6 mm round circumscribed benign morphology mass persist on spot compression views in the right breast upper-outer quadrant. No additional lesions/masses identified adjacent to it.Ultrasound: Targeted right upper-outer quadrant ultrasound was performed that demonstrated a simple cyst that measures 5 x 4 x 6 mm at 10:00 position. Adjacent to it is a small complex cyst that measures 2 x 2 mm. No suspicious cystic or solid mass noted.
Subcentimeter simple and complex cyst right breast 10:00 position on mammogram and ultrasound. No sonographic or mammographic evidence of malignancy. As long as patient's physical examination remains unchanged, annual screening mammogram is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.