A patient submitted outside study for review. Submitted for review are screening mammogram dated 11/18/2015 and ultrasound-guided core biopsy right breast dated 12/16/2015 performed at Swedish dominant. For comparison,5/12/2014 are available. Screening mammogram dated 11/18/2015:2 standard views of both breasts and right exaggerated CC lateral view were obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. 12 mm focal asymmetry in the right breast 9:00 position posterior depth is new from prior study. A faint calcification is identified within the mass on the exaggerated CC lateral view.Spot compression views were not obtained. No suspicious abnormality identified in the left breast.Ultrasound guided biopsy was performed on 12/16/2015 that showed a suspicious hypoechoic mass measuring 13 x 9 x 11 mm without peripheral blood flow at 9:00 position of the left breast. Ultrasound-guided biopsy was performed, 3 cores were obtained. Targeting appears adequate. There is no demonstration of clip placement on the images. There is no mention of clip placement on the report. No postprocedure mammogram was obtained. Pathology results are not available.
Screen detected 12 mm focal asymmetry right breast 9:00 position, subsequently biopsied under ultrasound. Clip has not been placed within the mass. Pathology results to be reviewed at University of Chicago.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: T - Take Appropriate Action - No Letter.