A patient submitted outside study for review. Submitted for review are mammogram (3/9/15 diagnostic mammogram, 12/8/14 screening mammogram) and ultrasound (3/9/15) exams performed at Regenstein Breast Imaging (Rush University). For comparison,screening mammogram (3/12/13) from Little Company of Mary Hospital are available. MAMMOGRAM An ML view and seven spot compression views of the left breast were obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. There are focal asymmetries in a branching distribution spanning in total 4 cm in the left upper outer breast, with associated benign coarse morphology calcifications. These focal asymmetries have slightly increased in prominence compared to prior, though the calcifications remain stable and could be most likely associated with multiple papillomatas. Additional two subcentimeter focal asymmetries in the medial left breast were evaluated at outside hospital.ULTRASOUND
1. Increased prominence of focal asymmetries in the left upper outer breast. The branching distribution and associated calcifications of these focal asymmetries are suggestive of multifocal papillomata. Diagnostic ultrasound of the left breast given that the most recent mammogram was almost 5 months ago with ultrasound evaluation of left upper outer quadrant is recommended.2. Stable medial left breast subcentimeter focal asymmetries, corresponding to simple and complex cysts as confirmed on outside ultrasound exam. No further work up is needed. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: T - Take Appropriate Action - No Letter.