61-year-old asymptomatic woman with personal history of left breast biopsy demonstrating atypical lobular hyperplasia. Strong family history of breast cancer in her sister diagnosed at age 59, paternal grandmother diagnosed in her 70s, and paternal first cousin diagnosed at age 53. Three standard views of both breasts with tomosynthesis and with two right ML rolled views and three right breast spot compression views (11 images total) were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A distortion in the right retroareolar breast on spot compression views appears to represent overlapping glandular tissue on tomosynthesis images.Stable calcifications in the right upper outer breast. A biopsy marker clip is present in the left posterior central breast. No suspicious microcalcifications in either breast. RIGHT BREAST ULTRASOUND
Questionable distortion versus overlapping glandular tissue in the right breast, without sonographic abnormality. Attention to this area should be paid on the patient's future scheduled screening MRI. In addition, a right unilateral diagnostic mammogram is recommended in 6 months, as long as the patient's physical examination remains normal. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months)..