43 year old female who has a complaint of new palpable left breast mass with tenderness. History of bilateral breast cysts. Clinical service requests ultrasound given her history of cysts. A targeted left ultrasound was performed for the patient’s area of concern. At the 12 o'clock position of the left breast, 2 cm from the nipple there is a well-circumscribed anechoic cyst measuring 1.5 x 1.6 x 1.8 cm. Numerous surrounding subcentimeter simple appearing cysts are also noted.
Benign, simple cyst at the 12 o'clock position of the left breast, corresponding to patient's palpable abnormality. No sonographic evidence of malignancy. As long as the patient's physical examination remains unchanged, bilateral diagnostic mammogram is recommended annually, which the patient will be due for in September 2015. Results and recommendation were discussed with the patient. Additionally, the patient will discuss her symptomatic cyst with Donna Christian today. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.