EXAM: DIGITAL DIAGNOSTIC LEFT CALLBACK MAMMOGRAM WITH TOMOSYNTHESIS AND BREAST ULTRASOUND
HISTORY: Follow-up tiny nodule in the posterior left mid outer breast at 3 o’clock.
TECHNIQUE: Digital mammographic images are reviewed. Low-dose full-field Digital Breast Tomosynthesis examination was performed with 2D and 3D acquisitions. Targeted left breast ultrasound was performed with special attention paid to the area(s) of concern.
COMPARISON: 9/4/2018
FINDINGS:
Mammogram:
Tissue Density: The breasts are heterogeneously dense, which may obscure small masses.
The tiny, benign-appearing nodule in the posterior left outer breast is stable. It is smooth bordered and benign-appearing. There are 2 such nodules noted on 3-D imaging in the left lower axillary tail each measuring less than 0.5 cm. Only one is visualized and a exaggerated craniocaudal view of the left outer breast. On 3-D imaging, this small, 0.3 cm nodular density is benign appearing.
Ultrasound: Ultrasound of the left outer breast extending into the left axillary tail to include the upper outer breast reveals a simple cyst at 3 o’clock 6 cm from the nipple measuring 0.6 x 0.2 x 0.5 cm. This may correspond to one of the nodules. They may both be small intramammary nodes, and are difficult to visualize.
Therefore six-month follow-up left breast mammogram and sonogram is recommended.
IMPRESSION:
There are 2, smooth bordered small nodular densities in the left x-ray tail with one simple cyst noted on sonography. As precaution, 6 month follow-up left breast mammogram and left breast sonogram of the upper outer breast extending into the axilla is recommended to ensure stability.
ASSESSMENT: BI-RADS Category 3: Probably benign.
FOLLOW-UP: Follow-up imaging evaluation in 6 months.