68-year-old with a history of left mastectomy in 2008 for DCIS. Three standard views of the right breast were performed digitally with spot compression views 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. A focal asymmetry with distortion in the right upper breast at the 12:00 position persists on spot compression images, more suspicious on the CC view. Repeat mammograms after placement of a BB over the site of the below-mentioned sonographic abnormality corresponds to this focal asymmetry. ULTRASOUND
Indeterminate 12 mm mass in the right upper breast at the 12:00 position. Ultrasound guided biopsy is recommended. Findings were discussed with the patient. Clip placement will be especially important in order to determine correlation between the sonographic finding for biopsy and the mammographic distortion. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.