45 year old female who was recalled from screening mammogram for focal asymmetry in the right upper outer breast. History of right breast second-degree burn at 12:00 position in may 2016. Mammogram: An ML , repeat MLO view and 3 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty(BiRads Density Category A), unchanged in pattern and distribution. Focal asymmetry in the right upper-outer quadrant mid to posterior depth disperses into normal breast tissue. On repeat right MLO view it is not as conspicuous and most likely represents glandular tissue.Ultrasound: Targeted right upper-outer quadrant ultrasound was performed. No definite target identified on ultrasound.
Focal asymmetry in the right upper-outer quadrant which was seen on screening mammogram is not as conspicuous on diagnostic mammogram probably related to healing history of second degree burn involving the right breast. Right unilateral diagnostic mammogram is recommended in 6 months for confirmation.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.