Ms. Simpson is a 47 year old female recalled from screening mammogram for a right focal asymmetry. Family history of breast cancer in maternal great aunt. Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. The previously described focal asymmetry in the right inner lower breast disperses on spot compression views.Ultrasound: Targeted ultrasound of the right inner lower breast at 4:00, 3 cm from the nipple demonstrates normal glandular tissue without suspicious mass.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.