Asymptomatic female presents for routine screening mammography. History of right breast benign biopsy. Family history of breast cancer in mother diagnosed in her 60's and maternal grandmother diagnosed in her 50's. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. New asymmetry is present in the superior posterior right breast best seen on MLO view. Stable scattered bilateral benign calcifications. Previously described ill-defined mass previously confirmed to be a cyst on ultrasound in the left lower outer breast is not visualized on the current exam compatible with a waxing and waning cyst. No suspicious masses, microcalcifications are present.
New asymmetry in the superior posterior right breast best seen on MLO view which further evaluation with spot compression views and possibly ultrasound is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required.