Screening findings in both breasts presents for further follow-up. Three standard views of both breasts left spot magnification and right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. Multiple enlarged right axillary lymph nodes are again seen. The largest of these measures up to 17 mm, which is slightly enlarged compared to last year's mammograms. High probability benign calcifications in the left upper outer breast appear to layer on the ML view suggesting benign milk of calcium. There are bilateral benign calcifications elsewhere including arterial calcifications. Normal sized left intramammary lymph node in the upper outer quadrant.ULTRASOUND
Right axillary lymphadenopathy for which ultrasound-guided biopsy of the most suspicious lymph node is recommended. Left breast calcifications are most compatible with benign milk of calcium. If the right axillary lymph node biopsy is benign, then the next breast imaging for this patient could be a six-month follow-up for these calcifications.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.