64 year old female called back from screening mammography for an asymmetry in the right breast. Three standard views of the right breast with additional spot compression views 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. There is a persistent lobulated asymmetry at the 12:00 position. An adjacent circumscribed round asymmetry is also present. ULTRASOUND
Benign cyst in the right upper breast, but no definite sonographic correlate for the lobulated mammographic asymmetry in the right upper breast. The patient has filed for submission of prior mammograms. If these are obtained, they will be reviewed and an addendum will be issued. Otherwise, a right unilateral diagnostic mammogram is recommended in 6 months to confirm stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).