53-year-old female a history of left lumpectomy for IDC and DCIS in April of 2008, status post chemotherapy and radiation. Mammogram: Three standard views of both breasts and two left breast 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, unchanged in pattern and distribution. Post surgical scar with surgical clips is re-demonstrated at upper outer quadrant in the left breast without significant change. Focal asymmetry in the left lower inner breast disperses on spot compression views, however, ultrasound was subsequently performed for confirmation.No suspicious mass or suspicious microcalcifications in either breast. Ultrasound: Targeted left lower, inner quadrant ultrasound was performed. Normal glandular tissue is noted. No suspicious cystic or solid mass noted.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram.