Ms. KATHERINE GADALINSKI is a 40 years old female with a personal history of a focal asymmetry noted on screening mammography in the right lower inner breast. MAMMOGRAM: Three standard views of the right breast as well as two spot compression 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. 4 mm circumscribed benign morphology mass persist on spot compression views.ULTRASOUND:A targeted right ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified. Normal glandular tissue is noted.
High probability benign morphology mass in the right breast lower inner quadrant without sonographic correlate. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).