dense glandular elements

Dear Doctor,

I had a Mammography and USG done of both breasts recently, received the reports but find it difficult to
understand the same.
Can you please explain this to me in a very simple and easy way so that I can understand it ?
Just for your info, I had a fibroid removed from my left breast about 13 years go which was benign.  
Since last 2 years, a lump/hardness has reappeared at the same spot and that is why I have done these tests.
Moreover, sometimes I keep getting a pain at that particular spot, on and off.

MAMMOGRAPHY REPORT OF BOTH BREATS
Craniocaudal and mediolateral oblique views of both breasts show dense glandular elements mixed with fatty tissue.
An opacity without microcalcification is noted in superomedial aspect of right breast ?  SOL.
Lobulated opacity suspected in subareolar region of left breast ?  SOL
Skin and nipple outlines appear normal.
Suggested USG of both breasts for further evaluation.

USG REPORT OF BOTH BREASTS
There is a 15.9 x 9.3 mms hypoechoic lesion in the superomedial quandrant of right breast.  
It has smooth margins.  Another similar lesion is seen in the areolar region of left breast.
It measures 17.3 x 6.2 mms in size.
Tiny cysts with surrounding echogenic fibrous change are seen in the superolateral quadrant of both breasts.

[japdip]

As a rule a BIRADS score is assigned to the findings after both Mammogram and Ultrasound but this is not mentioned in your post. Both reports mention dense breast tissue which is a common occurance and only makes it more difficult to determine any abnormality that might be present. Often a Breast MRI is ordered because this test is very valuable with dense breast tissue. Cysts are mentioned and described by Ultrasound. Since you had a Fibroma removed previously these findings may well be of the same nature. If there were some question about the lesions I feel quite certain that a biopsy of some type would have been recommended.  I suggest you discuss these reports in detail with your prescribing Physician to determine if any further action is necessary.    Regards ....