61-year-old female with history of right breast asymmetry on screening mammography. Personal history of benign right biopsy in 2009. No reported family history of breast cancer. Three standard views of the right breast with additional spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A few subcentimeter round circumscribed masses are seen in the right upper medial breast which do not disperse on compression imaging.Ultrasound: A targeted right breast ultrasound was performed in the area of mammographic abnormality in the upper inner right breast. A few tiny scattered simple cysts were seen. The largest measured 7 x 5 x 5 mm. There is no increased vascularity associated with any of these cysts. These lesions were concordant with mammographic findings.
A few tiny benign cysts in the right inner upper breast concordant with mammographic abnormalities. No evidence of malignancy. As long as the patient's physical exam remains unchanged, annual screening mammography is recommended. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.