56-year-old female with history of right breast asymmetry on screening mammography. No current breast complaints. Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Again seen are two asymmetries in the right breast, one in the outer breast mid depth on the CC view, and one on the MLO view posterior depth. The asymmetry in the outer breast mid depth persists with spot compression views, possibly a benign intramammary lymph node. The asymmetry in the posterior breast disperses with spot compression.ULTRASOUND
Benign appearing intramammary lymph node correlates with the outer breast asymmetry seen on the CC view on the prior screening study. The more posterior asymmetry disperses with spot compression and does not demonstrate a sonographic correlate, most likely representing superimposed glandular tissue. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.