43 year old female who was recalled from screening mammogram for a partially circumscribed oval mass in the right lower central breast. Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B). 24 mm oval circumscribed isodense mass persist in the right lower outer quadrant. No associated calcifications noted.Ultrasound: Targeted right lower outer quadrant ultrasound was performed that showed an oval circumscribed benign morphology hypoechoic mass with central hyperechogenicity that measures 1.8 x 0.6 x 1.2 cm corresponding to the mammographic abnormality. Mass is located at 7:00 position, 5 cm from the nipple. No definite blood flow is identified within the mass. This could either represent a benign intramammary lymph node or fibroadenolipoma.
Benign morphology mass in the right breast 7:00 position on mammogram and ultrasound.No mammographic evidence of malignancy. As long as patient's physical examination remains unchanged, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.