Ms. Richardson is a 37 year old female presenting after call back during screening examination. Family history includes a sister diagnosed with breast cancer twice, once at age 19 and once at age 21. An ML view and three spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. Ultrasound was subsequently performed.MAMMOGRAM:The breast parenchyma is composed of scattered fibroglandular density (BiRads Density Category B), unchanged in pattern and distribution. Again demonstrated in the right upper, outer breast is a small, circumscribed mass measuring approximately 8 mm. This likely represents an intramammary lymph node.ULTRASOUND:Targeted right upper-outer quadrant ultrasound was performed. A 7 x 4 mm benign intramammary lymph node identified on ultrasound. 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 is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.