63 year old female who was recalled from screening mammogram for focal asymmetry in the right breast at the 12:00 position. Mammogram: An ML view and 3 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Focal asymmetry in the right breast 12:00 position disperses into normal breast tissue. Benign subcentimeter oval focal asymmetry in the retroareolar region is unchangedUltrasound: Targeted right breast 12:00 position ultrasound was performed. No suspicious abnormality corresponding to the mammographic area in question. A benign oval hypoechoic mass measuring 6 x 4 mm was identified at the 12:00 position 1 cm from the nipple corresponding to the benign morphology stable oval mass seen on mammogram. This most likely represents a benign fibroadenoma.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.