Ms. Cail is a 46 year old woman who returns for further evaluation of a new mass in the right breast identified on screening mammogram dated 7/7/2016. CC and ML views of the right breast plus two compression CC views and a single compression ML view of the right 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 a circumscribed oval mass within the right lateral breast, anterior depth, which persists on spot compression views. ULTRASOUND
Subcentimeter round mass in the right breast 8:00 position 2 cm from the nipple, with internal vascularity noted on color Doppler interrogation, for which the differential diagnosis includes intraductal papilloma, fibroadenoma and malignancy. Ultrasound-guided biopsy is recommended. These findings and recommendation were discussed with Ms. Cail, who agrees with the plan. 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.