A patient submitted outside study for review. Submitted for review are digital mammographic images (2/29/16, 3/9/16), ultrasound images of left breast (3/9/2016) performed at Envision Diagnostic Center. DIGITAL MAMMOGRAPHIC IMAGES (2/29/16, 3/9/16):The breast parenchyma is heterogeneously dense (BiRADS Density Category C). There is a cluster of calcifications at upper inner quadrant in the right breast.Scattered benign appearing calcifications are seen in the left breast. There is a focal asymmetry at upper outer quadrant in the left breast.ULTRASOUND IMAGES OF LEFT BREAST (3/9/2016):Ultrasound images of left upper outer quadrant (12:00-3:00) are obtained. There are several simple cysts with normal breast tissue in this area.
A cluster of calcifications at upper inner quadrant in the right breast, for which stereotactic core biopsy is recommended. No mammographic or sonographic evidence for malignancy in the left breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.