Ms. Anderson is a 56 year old female who returns today for further imaging evaluation of an asymmetry in the posteromedial right breast identified on screening mammogram dated 4/6/2016. Full field right ML view, right cleavage view and right CC spot compression view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography (BiRads Density Category D), unchanged in pattern and distribution. Asymmetry in the medial right breast in the very posterior location is again seen. ULTRASOUND
Dilated tubular structures within the right lower inner quadrant with no internal vascularity and occasional internal fluid movement, an imaging appearance most compatible with dilated intramammary ducts containing debris. Biopsy is recommended to confirm benignity. Findings and recommendation were discussed with Ms. Anderson, who agrees with the plan.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.