Patient called back from screening for evaluation of partially circumscribed mass in the right upper outer quadrant. RIGHT BREAST DIGITAL MAMMOGRAM: One right breast ML and 3 right breast spot compression views 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. Again noted is a partially circumscribed mass in the right upper-outer quadrant which persists on the spot compression views.TARGETED RIGHT BREAST ULTRASOUND: Targeted right breast ultrasound demonstrated 2 hypoechoic lesions at 9:00 position, 3 cm from nipple and 2 cm from nipple with internal vascularity. The larger of these lesions measures 11 x 6 x 10 mm and likely corresponds to the mammographic abnormality.
2 hypoechoic masses at 9:00 position with increased vascularity. Percutaneous ultrasound-guided biopsy of the larger lesion which corresponds to the mammographic abnormality is recommended. If larger lesion is malignant, further biopsy of the smaller lesion should be considered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.