97-year-old with large suspicious left breast mass with skin nodules. Bilateral MLO, bilateral ML and 2 right CC views were performed digitally and reviewed with the aid of R2 CAD 9.3. Left CC views could not be performed due to patient discomfort. The breast parenchyma is composed of scattered fibroglandular density. The left breast is highly dense compatible with a large underlying mass. Left breast skin thickening is also noted throughout. Benign calcifications in the right breast are largely arterial in etiology. A presumed intramammary lymph node is noted in the right upper breast. ULTRASOUND
Findings compatible with diffuse left breast cancer with associated skin thickening and a suspicious left axillary lymph node. The patient is to be seen in breast surgery clinic immediately after this imaging.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: B - Surgical Consultation.