Two focal asymmetries seen in the right breast and two focal asymmetries seen in the left breast on screening mammogram. Family history of breast cancer in paternal grandmother and two maternal great aunts. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. The two circumscribed masses in the right lateral and retroareolar breast persist on spot compression images. The two focal asymmetries in the left upper outer breast partially disperse on spot compression images.ULTRASOUND
1. 9 mm indeterminate left lateral breast mass. Ultrasound guided biopsy is recommended.2. Bilateral simple breast cystsBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.