66-year-old female. History of right inner breast mass that was biopsied on 10/7/2014 to be spindle cell proliferation and focal usual ductal hyperplasia. Patient presents for short interval follow-up mammogram of her right breast. Right breast diagnostic mammogram: Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. The right breast mass containing a biopsy clip at the 3 o'clock position appears slightly larger; ultrasound was done for further evaluation. Right breast ultrasound: Targeted ultrasound for the right breast 3 o'clock position 2 cm from the nipple again showed a mixed echogenicity predominately hypoechoic mildly vascular mass that measures 2.3 x 1.2 x 1.8 cm, previously 1.5 x 1.1 x 1.3 cm. A few cystic components within this mass are again noted. The biopsy clip is at its inferior margin.
Mild increase in size of the right breast complex mass. Recommend surgical consultation regarding its management.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation.