53 year old female who was recalled from screening mammogram for areas of asymmetry in the posterior depth of bilateral upper breast. Family history of breast cancer in her mother diagnosed at age 37. Mammogram: An ML view and two spot compression views of both breasts 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. Oval asymmetry in the left posterior superior breast disperses into normal breast tissue.Asymmetry in the right superior posterior breast partially persist on the MLO spot compression view and hence targeted ultrasound was performed.Ultrasound: Targeted right superior posterior breast ultrasound was performed. No suspicious cystic or solid mass noted.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram with tomo synthesis given her dense breast is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.