46 year old female who was recalled from screening mammogram for bilateral breast masses. No family history of breast cancer. MAMMOGRAM: An ML view and 3 spot compression views of the right breast, and 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 almost entirely fatty, unchanged in pattern and distribution. There is redemonstration of a subcentimeter mass within the upper central right breast, which persists on spot compression imaging. Additionally, there is redemonstration of a subcentimeter mass in the upper outer left breast, which partially disperses on spot compression imaging. ULTRASOUND: Targeted right ultrasound was performed for the mammographic area of concern. At the 12 o'clock position of the right breast, 14 cm from the nipple there is a circumscribed hypoechoic mass with parallel orientation measuring 0.6 x 0.1 x 0.1 cm. A second 0.1 x 0.2 x 0.4 cm is noted adjacent to this. These likely represent simple cysts and account for findings on mammogram.Targeted left ultrasound was performed of the mammographic area of concern. Within the upper outer quadrant of the left breast, no solid or cystic mass is identified. Findings on mammogram likely represent superimposed glandular tissue.
1. High-probability benign right breast lesions most likely cysts, accounting for findings on mammogram. Six month follow-up right unilateral mammogram and possible ultrasound are recommended to assess stability.2. Partial dispersement of the left breast findings, with no sonographic correlate. The mammographic finding likely represents superimposition of normal glandular tissue. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).