45-year-old presents for diagnostic mammogram for a focal asymmetry noted in the left breast. Mammogram:  Left ML and four spot compression views of 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. A focal asymmetry noted in the slightly medial, upper left breast at posterior depth mostly dispersed into normal appearing glandular tissue with spot compression views. Ultrasound:A targeted left ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified.
No mammographic or sonographic 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.