60year old female who was recalled from screening mammogram for new asymmetry left breast. 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Additional views demonstrate a 6 mm asymmetry in the left breast central depth upper outer quadrant which partially disperses on spot compression views. Ultrasound is recommended for further evaluation. ULTRASOUND: On physical exam, there is no visible or palpable abnormality.Targeted ultrasound of the left breast was performed for the mammographic area of concern. In the left breast 4:00 position 4 cm from nipple middle to posterior depth, correlating to the abnormality on mammogram, there is a 5 x 2 x 7 mm oval cyst. No suspicious masses are identified.
Left breast cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.