<prompt> BIRADS score 4 suggest:Normal lesionSuspicious of malignancyMostly benignProven malignancy  <response>: Ans. b. Suspicious of malignancyBreast imaging reporting and data systems BIRADSCategoryDefinitionNext plan0Incomplete assessment 1Negative No abnormal enhancement is foundAdvice for routine follow-up2Benign FindingEx: Hyalinized non-enhancing Fibroadenoma, Cysts and old non-enhancing scars, fat containing lesions such as oil cysts, Lipomas, galactocele or mixed density hamartomas.Recommend annual screening3Probably benignChanges are highly unlike to malignantShort interval follow-up4SuspiciousThese are lesions that do not have characteristic morphology of Breast carcinoma, but do have a definite low to moderate probability of benign malignant.Biopsy should be consider for the lesions5Highly suggestive malignancyLesion categorized as BIRADS-5 have high risk probability of being cancerous. They show typically findings of malignant breast tumor.Appropriate action should be taken6Histological verified breast carcinoma. 