51 year old female who was recalled from screening mammogram for focal asymmetry in the right breast . Mammogram: An ML 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 composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Focal asymmetry in the right central breast with possible correlate in the superior breast disperses into normal breast tissue. Few benign calcifications are noted. Ultrasound: Targeted ultrasound in the right breast 12:00 position was obtained. No suspicious cystic or solid mass noted.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.