52 year old female who was recalled from screening mammogram for 13-mm bilobed asymmetry in the medial right breast with a possible correlate in the inferior right breast . Mammogram: An ML view and two spot compression and spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Bilobed asymmetry in question disperses into normal breast tissue. Loosely scattered calcifications were noted in the right upper outer quadrant on the ML view and further evaluated with spot magnification views. Most of them later on ML view, suggestive of milk of calcium. Multiple benign morphology, masses in the lateral right breast are unchanged.Ultrasound: Targeted medial right breast ultrasound was performed to evaluate the mammographic area in question. No suspicious cystic or solid mass noted. Normal glandular tissue 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.