73 year old female who was recalled from screening mammogram for 7 mm focal asymmetry in the right upper outer quadrant. Patient on estradiol for the past 2 years. Mammogram: An ML view and four spot compression views of the right breast 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. Focal asymmetry in the right upper-outer quadrant persist only on the ML and MLO view. It is not definitely seen on the cc view. A benign morphology partially circumscribed slightly hyperdense mass is identified in the central breast on CC spot magnification view.Ultrasound: Targeted superior right breast ultrasound was performed. Multiple simple, complex and septated cysts with milk of calcium identified in the superior right breast, largest simple cyst measuring 7 x 5 mm. No suspicious solid mass noted.
High probability benign morphology asymmetry in the superior right breast and multiple simple and complex cysts in the superior right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram and ultrasound is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).