69 year old female who was recalled from screening mammogram for multiple focal asymmetries in the central to inferior right breast. Family history of ovarian or uterine cancer in sister. Personal history of benign breast biopsy. Mammogram: An ML view and 4 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Out of 3 focal asymmetries in the right lower, inner quadrant, only one oval 7 mm focal asymmetry persists on spot compression views. The other two focal asymmetries, most likely look like glandular tissue.Ultrasound: Targeted right lower, inner quadrant Ultrasound is performed. Oval, benign morphology, mass, with possible central fatty hilum measuring 7 x 3 mm is identified at 4 o'clock position of the right breast mostly corresponding to the mammographic abnormality. No definite hilar blood flow was noted.
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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.