Ms. Discipio is a 67-year-old female with known left breast cancer. Recent MRI demonstrated an indeterminate enhancing mass in the right upper inner breast. She presents today for MR directed ultrasound of this finding. A targeted right ultrasound was performed for the MRI/mammographic area of concern. In the right breast 2:00 location, approximately 2 cm from the nipple, two adjacent anechoic lesions are identified, measuring up to 8 x 2 x 4 mm. These are compatible with simple cysts. Additional similar appearing cysts are seen in the vicinity. These correspond to the MRI area of concern.
Multiple small cysts in the right upper inner breast, corresponding to the MRI area of concern. No sonographic evidence of malignancy. No additional imaging workup is necessary for the right breast. All results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.