59 year old female who was recalled from screening mammogram for left breast asymmetry. No family history of breast cancer. MAMMOGRAM: An ML view and 3 spot compression views of the left breast 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. There is redemonstration of asymmetry within the upper slightly inner left breast, which partially resolves on spot compression imaging. This area is further evaluated with ultrasound.ULTRASOUND: On physical examination, no palpable abnormality is appreciated in the upper inner left breast. A targeted left ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified.
No mammographic or sonographic 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.