Ms. Ware is a 74-year-old female recalled from screening exam of 08/31/16 for new focal asymmetry in the left central breast. She has a family history of breast cancer in her sister. An ML view and 3 spot magnification views of the left 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. Again seen is a 4 mm mass in the left central breast with partially obscured margins. A subsequent targeted left breast ultrasound was performed.ULTRASOUND
Simple cyst in the left breast at the 11:00 position correlating to focal asymmetry seen on mammogram. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.