47-year-old woman with personal history of a benign right breast biopsy recalled from screening mammogram for a questioned asymmetry in the left medial breast. MAMMOGRAM: ML, CC and three spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. The asymmetry in the medial left breast, anterior to mid depth best seen on the CC view partially disperses on additional views and lacks spiculation. An ultrasound will be performed for further evaluation. Benign morphology masses in the left central to outer breast are unchanged. No suspicious microcalcifications.ULTRASOUND:On physical exam, there is no palpable abnormality of the left breast.Targeted grayscale ultrasound the left breast was performed for the mammographic area of concern. In the 7:00 position 3 cm from nipple, unremarkable fibroglandular tissue and fat lobules are seen. No suspicious solid or cystic masses are identified in the 7:00 position and in the adjacent areas.
No mammographic 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.