Ms. Farris is a 68-year-old female recalled from screening mammogram for a spiculated mass in the left breast. Patient currently asymptomatic. No family history of breast cancer. An ML view and four spot magnification views of the left breast 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 revisualization of a spiculated mass in the left lower outer breast with internal pleomorphic calcifications. Seen posterior to this is an additional 0.9 cm cluster of pleomorphic calcifications. These lesions are separated by approximately 4.5 cm in the AP dimension.LEFT BREAST ULTRASOUND
Two suspicious lesions in the left lower outer breast with sonographic correlates. An US guided biopsy with clip placement is recommended for both lesions. All results and recommendations were discussed with the patient. Of note patient is on Aspirin and Coumadin for her comorbidities and these will need to be held for at least 3 days prior to the procedure. A message was sent to the patient's primary care physician Dr. Carmela Kiraly via EPIC on 2/8/2015 at 2:30 PM to determine if this is feasible. Above findings and recommendations were also discussed with the patient at time of completion of exam. BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.