How to interpret the findings of a breast ultrasound?

Question

Hello doctor,

I had a bilateral breast ultrasound and would like more details about the findings. Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

I reviewed the reports (attachment removed to protect the patient's identity).

There are multiple simple cysts in the right breast parenchyma, the largest one measuring 1.3 cm. They are simple because these cysts seem to have no internal contents (based on image quality). No vascularity is noted within them on color doppler. If you do not have any symptoms such as breast pain, nipple discharge, redness of the skin, etc., then nothing further needs to be done. However, in case you are symptomatic, larger cysts can be aspirated.

In radiology, there is a grading system for breast lesions. Simple cysts fall in BIRADS 2 category. Therefore these are considered benign. However, after six months, complex cysts (those with internal contents) require follow-up.

I hope this helps.

Thank you.