Ms.AMERICA M BARRERA is a 50 years old female recalled for a new focal asymmetry in the left lower outer breast. MAMMOGRAM: An ML view and two spot compression views of the left 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(BiRads Density Category C), unchanged in pattern and distribution. The focal asymmetry in the left lower outer breast, posterior depth, persists on the spot compression views.ULTRASOUND:On physical examination, no discrete mass is palpated.A targeted left ultrasound was performed for the mammographic area of concern at 5 to 6:00 position. There is no solid or cystic mass identified.
Screen detected focal asymmetry in the posterior left breast without a sonographic correlate is most likely benign. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).