42-year-old woman presents for call back from screening for a focal asymmetry in the left breast on 8/28/2015. Family history of breast cancer in a sister diagnosed at age 57. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. The approximately 6 cm focal asymmetry in the left inferior breast persists on spot compression images. LEFT BREAST ULTRASOUND
Left inferior breast cysts and mildly dilated ducts. Since the patient does not have prior exams, a left unilateral diagnostic mammogram and possible ultrasound examination are recommended in 6 months, as long as the patient's physical examination remains normal. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).