Ms. Grelck is a 69-year-old female presenting for short term 6 month follow-up ultrasound for multiple cysts of the right breast. She has a personal history of left breast lumpectomy for invasive ductal carcinoma in 2007. On physical examination, no palpable masses were identified.A targeted right ultrasound was performed for the mammographic area of concern. In the right breast 7:00 position, approximately 3 cm from the nipple, there is an anechoic round circumscribed lesion with posterior acoustic enhancement measuring 6 mm x 3 mm x 6 mm, unchanged. No internal flow is present on Doppler imaging. This is compatible with a cyst. In the right breast 8:00 position, approximately 3 cm from the nipple, there is a cluster of round anechoic lesions with posterior acoustic enhancement measuring 9 mm x 2 mm. No internal flow is present on Doppler imaging. These are also compatible with cysts and are unchanged.No solid masses were identified.
Stable benign cysts of the right breast. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months in order to ensure stability of these findings, due next in Jan 2017. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.