A patient submitted outside study for review. Submitted for review are ultrasound images of right breast (3/14/16, 4/27/16, 5/2/16), breast MRI (5/2/16), digital mammographic images (5/3/16) performed at University of Tennessee Medical Center. ULTRASOUND IMAGES (3/14/16, 4/27/16, 5/2/16):An irregularly shaped complicated cyst is visualized at 12:00 position, measuring 9 x 5 mm in the right breast on 3/14/2016. Aspiration of this complicated cyst was performed on 4/27/2016, and complete resolution of the cyst is obtained after the aspiration.Per outside radiology report, the fluid was bloody and sent to cytology, and rare atypical cells were found within the fluid.On the images obtained on 5/2/2016, mild reaccumulation of the cyst is seen at 12:00 position in the right breast. There are no suspicious findings in those images.BREAST MRI (5/2/16):Breast MRI was performed with a protocol outlined in the outside radiology report.There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Bilateral retropectoral saline implants appear intact.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.DIGITAL MAMMOGRAPHIC IMAGES (5/3/16):The breast parenchyma is heterogeneously dense (BiRADS Density Category C). Bilateral retropectoral saline implants appear intact. There are scattered benign-appearing calcifications in both breasts. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast.
No mammographic, sonographic or MR evidence for malignancy in either breast. Status post cyst aspiration of right breast at 12:00 position, with cytology result of rare atypical cells. If excision of an area of aspiration is needed, needle localization can be performed with ultrasound guidance.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.