Ms. Hyde is a 56-year-old female with known DCIS in the left breast and enhancing focus in the inferior right breast seen on MRI, presenting for an MRI targeted ultrasound of this region. A targeted right ultrasound was performed for the MRI area of concern. There is retroareolar focal ductal ectasia. Additionally, there are a cluster of small cysts versus a septated cyst in the right breast at the 6:30 position, approximately 2 cm from the nipple, measuring 3 x 3 mm.Additionally, there is a subtle, hypoechoic region in the superficial skin, possibly within the dermis, at the 6:00 position, approximately 1 cm from the nipple which measures 11 x 2 x 4 mm, and may represent an inclusion cyst or a sebaceous cyst.
Small cluster of cysts versus septated cyst in the right breast at the 6:30 position, which likely correlates to the small enhancing focus from recent MRI. Additionally, hypoechoic region within the skin of the inferior right breast likely correlates to the area of superficial enhancement within the skin seen on recent MRI. No sonographic evidence for malignancy.Follow up MRI in 6 months is recommended to confirm stability of the foci seen on MRIBIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.