Ms. Dupart is a 54 year old female with a personal history of ovarian cancer now status post total abdominal hysterectomy and bilateral salpingooophorectomy who presents for imaging evaluation of a palpable mass in the right breast. Three standard views of both breasts plus an additional left MLO view and spot compression right CC and ML views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty (BiRads Density Category A), unchanged in pattern and distribution. A triangular marker overlies upper inner quadrant of the right breast, indicating the site of the palpable abnormality. There are four contiguous focal asymmetries in the right medial breast, which are better appreciated on the ML spot compression view, which together occupy a region measuring up to 3.7 cm. Scattered benign calcifications are noted bilaterally. A benign intramammary lymph node present in the right upper outer quadrant. ULTRASOUND
1 indeterminate structure within the right upper inner quadrant, for which ultrasound-guided biopsy is recommended to ensure benignity.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.Findings were discussed with the gynecology resident on call, Kathryn Hawley, on 9/15/2016 at approximately 2:15 PM.