75 year old female who was recalled from screening mammogram for new left breast mass. No family history of breast cancer. 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 almost entirely fatty, unchanged in pattern and distribution. There is redemonstration of a 2.1-cm circumscribed, lobulated mass within the upper inner left breast, which persists on spot compression imaging.ULTRASOUND: A targeted left ultrasound was performed for the area of concern. At the 11 o'clock position of the left breast, 6 cm from the nipple there is a parallel, hypoechoic, lobulated mass with angular margins measuring 2.0 x 1.0 x 1.4 cm. There is minimal vascularity associated with this lesion.
2.0-cm hypoechoic mass at the 11 o'clock position of the left breast, corresponding to the mammographic finding. Ultrasound guided biopsy of this mass is recommended. Results and recommendation were discussed with the patient, and all of her questions were answered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.