65 year old female who was recalled from screening mammogram for left breast calcifications and focal asymmetry in the right breast. No current breast complaints. MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. An ML view and two spot magnification views of the left breast were also performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign morphology calcifications are seen on the spot magnification views of the left breast upper outer quadrant. Focal asymmetry in the right breast central to the nipple mid to posterior depth partially disperses on the spot compression views. An ultrasound is recommended for further evaluation.RIGHT BREAST ULTRASOUND:On physical exam, there is no palpable or visible abnormality.Targeted ultrasound of the right breast was performed for the mammographic area of concern. Unremarkable fibroglandular tissue is seen in the right breast middle and posterior depth central to slightly medial to the nipple. No solid or cystic masses.
Benign left breast calcifications. 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.