Recalled from screening mammography for a focal asymmetry with calcifications in the left breast. An ML view and two spot magnification 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(BiRads Density Category B), unchanged in pattern and distribution. The focal asymmetry with calcifications measuring about 5 mm persists on spot magnification views. The calcifications have a benign appearance, suggestive of milk of calcium.ULTRASOUND
Ultrasound finding is low suspicion, more likely a cluster of microcysts or a papilloma, less likely malignancy. Management options were discussed with the patient, and biopsy for definitive diagnosis is preferred.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.