Call back from screening mammogram for masses in both breasts. An ML view and two spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense (BiRADS Density Category C), unchanged in pattern and distribution. Multiple circumscribed masses are seen in the right breast at upper outer quadrant and an oval shaped mass seen at 3:00 position in the left breast.In the ultrasound, there are 2 simple cysts at 9:00 position and a small simple cyst at 10:00 position in the right breast. The largest cyst is located at 9:00 position measuring 21 x 10 mm. There is a circumscribed hypoechoic mass measuring 9 x 6 mm at 8:00 position in the right breast, likely a complicated cyst.In the left breast, there are 2 simple cysts at 3:00 position; the larger one measures 22 x 11 mm.
High probability benign complicated cyst at 8:00 position in the right breast, for which ultrasound follow-up is recommended in 6 months. Multiple simple cysts in both breasts. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).