Ms. Ryan is a 73 year old female with a family history of breast cancer in 1 aunt and 3 cousins. She presents for further imaging evaluation of a new mass in the right breast, identified on screening mammography on 7/27/2016. 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. The breast parenchyma is composed of scattered fibroglandular density (BiRads Density Category B), unchanged in pattern and distribution. Compression spot views redemonstrate a circumscribed, oval 16 mm mass in the right upper outer quadrant 11:00 position, containing calcifications. Additional scattered benign calcifications are again appreciated.RIGHT BREAST ULTRASOUND;
16 mm mass in the right upper outer quadrant 11:00 position with suspicious mammographic and sonographic characteristics, for which biopsy is recommended. The patient has a significant medical history of a myocardial infarction, for which she takes a regimen of Aspirin + Plavix. It is recommended that these medications be held for the 5 days preceding the anticipated biopsy, but only as approved and managed by her primary physician or cardiologist. These findings and recommendation were discussed with the patient, as well as with her husband. BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.