A patient submitted outside study for review. Submitted for review are mammogram dated 12/23/2014, ultrasound dated 12/23/2014 performed at Advocate South Suburban. No comparisons are available. Mammogram: Three standard views of the left breast and two standard views of the right breast were obtained. The breast parenchyma is composed of scattered fibroglandular elements.In the left upper outer breast, there is a large diffuse area of increased density containing pleomorphic calcifications spanning a distance of approximately 10 cm which are highly suspicious. Additionally, there is diffuse skin thickening of the left breast.Ultrasound: A targeted left breast ultrasound was performed. There was diffuse skin thickening measuring up to 1.2 cm. No discrete masses were identified.
Diffuse increased density in the left upper outer breast spanning a distance of 10 cm with suspicious appearing calcifications and skin thickening. This area is biopsy-proven to represent carcinoma involving dermal lymphatic spaces.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.