0:01

This is a targeted ultrasound of the left breast.

0:05

It was for pain, but this was an incidental finding

0:08

that was seen in that general area of pain,

0:10

but didn't correlate with the exact site of pain.

0:14

We see this is an oval circumscribed mass, but we see

0:17

through transmission, which makes us think that this

0:19

is probably a cyst, but it has some echogenicity in it.

0:22

It's not a simple cyst, like I showed

0:25

before, where we felt confident that

0:26

we could just give it a BI-RADS 2.

0:29

I said we described this as a complicated cyst.

0:32

It's important to make sure

0:34

that there's no solid component.

0:35

If there's a portion of it that's solid,

0:38

that would be described as a complex cystic and solid

0:41

mass, which should be given a BI-RADS 4.

0:45

But this is a complicated cyst, so we would

0:47

want to give a BI-RADS 3 and follow it.

0:50

This patient came back for follow-up.

0:51

And even though this finding got bigger,

0:53

it still meets that complicated cyst

0:57

description; we're seeing through transmission.

1:00

It has a circumscribed wall.

1:03

It's okay for them to change in size,

1:05

since they tend to be hormonally sensitive.

1:07

So this has changed in size, but it's still a, uh,

1:10

BI-RADS 3, and should continue to be followed.