Ms. Moore is a 49 year old female who was recalled from screening for left breast focal asymmetry. An ML, exaggerated left CC, 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 heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Focal asymmetry in left outer breast at posterior depth does not disperse on compression views. The appearance suggests a benign etiology. ULTRASOUND
Circumscribed subcentimeter mass is present at the 1:00 position of the left breast, posterior depth, and may represent a complicated cyst versus solid mass. Ultrasound-guided cyst aspiration versus core biopsy is recommended for further evaluation.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.