70-year-old female with history of left breast cancer, with prior imaging performed at outside hospital. Bilateral Mammogram: Spot compression views of the right upper outer breast and spot magnification views of the left upper outer breast, as well as standard bilateral ML views, 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. Within the right upper outer breast there is a well circumscribed 8mm focal asymmetry, probably representing a normal lymph node. An additional focal asymmetry within the right upper outer breast did not persist on spot compression views. Benign calcifications, including arterial calcifications, are present.Within the left breast there is a group of amorphous calcifications spanning 3 mm. Additional scattered benign-appearing calcifications, including arterial calcifications, are present. A lock clip is identified within the left upper outer breast at site of biopsy-proven breast cancer.Left breast ultrasound: A targeted left ultrasound was performed at site of calcifications within the left breast 12:00 location, 5cm from the nipple. There is no solid or cystic mass identified.
Grouped calcifications within the left breast 12:00, approximately 5 cm from the nipple. Given known left breast cancer, further evaluation is recommended with stereotactic biopsy. Results were discussed with Dr. Bao.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.