47-year-old female was recalled from screening mammogram for small partially circumscribed mass in the left upper-outer quadrant . Mammogram: An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. 5 mm circumscribed oval benign morphology mass in the left upper outer quadrant persist on spot compression views. Lateral to it is a benign intramammary lymph node is noted based on morphology.Ultrasound: A benign intramammary lymph node is identified at 2:00 position of the left breast. A simple cyst with through transmission measuring 6 x 4 mm identified at 3:00 position most consistent with the mammographic finding. No suspicious cystic or solid mass noted.
Simple cyst identified in the left breast 3:00 position with a mammographic correlate. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.