45 year old with proven right papilloma and enhancing focus in the left nipple on outside MRI (8/6/14) presents for diagnostic exam. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Two marker clips are present in the right retroareolar region. Scattered benign calcifications are noted in both breasts.No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast. MR-directed ultrasound was performed for the left nipple. There is a circumscribed round isoechoic mass with mild blood flow, measuring 6 x 3 mm, corresponding to the MR findings. This is likely a papilloma. Because its size has not significantly changed since the outside MRI performed August 2014, ultrasound follow up is recommended.
High probability benign mass in the left nipple. Follow-up ultrasound in 6 months is recommended.No mammographic evidence for malignancy.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).