Call back from screening mammogram for a new mass in the left breast. An ML view and three spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. An irregularly shaped mass is again identified at far medial left breast. The mass persists with spot compression. No calcifications are associated with this mass.Focused ultrasound was performed for left medial breast. There is an irregularly shaped hypoechoic mass at 9 o'clock position, 12 cm from nipple, in the left breast. Marked blood flow is observed within this mass. There is a tubular shaped hypoechoic lesion extending medially from the mass toward the sternum. Overall size of this lesion is 35 x 10 x 12 mm.
Highly suspicious mass in the left far medial 9 o'clock position. Ultrasound guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.