Bilateral soft breast masses. Known fibroadenolipoma in both breasts. Patient felt a mass in the right breast at upper outer quadrant, and two masses in the left breast; at 12:00 and 2:00 position.Targeted bilateral breast ultrasound examinations were performed for the palpable areas of concern. In the right breast at the 10:00 position 6 cm from the nipple, there is a large encapsulated heterogeneous fat-containing mass over 4 cm in size and compatible with a fibroadenolipoma and seen on the prior mammogram. This large mass is difficult to fully measure by ultrasound.In the left breast at the 2:00 position 5 cm from the nipple, there is a large encapsulated heterogeneous fat-containing mass over 3 cm in size and compatible with a fibroadenolipoma and seen on the prior mammogram. This large mass is difficult to fully measure by ultrasound. At 12:00 position, there are no abnormal sonographic findings.No suspicious masses are identified in either breast.
Bilateral breast masses compatible with fibroadenolipomas. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.