39-year-old female patient with bilateral saline implants with history of prior implant revision. Patient presented with a palpable abnormality in the left breast. Patient submitted outside study for review. Submitted for review are diagnostic mammogram and ultrasound (4/14/15), biopsy ultrasound (5/4/15), and postbiopsy mammogram (5/4/15) performed at Presence St. Mary's Hospital Indiana. For comparison,standard mammogram (11/30/2011) is available. DIAGNOSTIC MAMMOGRAM AND ULTRASOUND
Palpable abnormality in the left breast 6:00 position with ultrasound demonstrating 2 cm hypoechoic area. Concordant pathology reports from biopsy of this area at outside hospital demonstrated fibrocystic disease without atypia or malignancy, with areas of fibrosis and pseudoangiomatosis hyperplasia. Correlation with physical examination is recommended to ensure concordance between the biopsy result and physical exam. As long as the patient's physical examination remains benign, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.