year old female who was recalled from screening mammogram for mass in the left breast. No current breast complaints. MAMMOGRAM: An ML view and three spot compression views of the left 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 left breast lower inner quadrant measuring approximately 5 mm persists on additional views. An ultrasound is recommended for further evaluation.ULTRASOUND:On physical exam, there is a keloid in the left breast 9:00 position.Targeted grayscale and color Doppler ultrasound of the left breast lower inner quadrant performed. In the left breast 9:00 position 2 cm from the nipple, there is a 5 x 3 x 5 mm cluster of cysts. This correlates with the findings on mammogram. No solid component or septation. No internal vascularity.
Left breast cysts. No mammographic or sonographic 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.