Ms. Dogan is a 36 year old female with a personal history of bilateral breast cancer (left breast IDC x2, right breast DCIS). Patient is currently on Femara therapy and Herceptin. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense (BiRADS Density Category C), unchanged in pattern and distribution. In the right breast, extensive pleomorphic calcifications are not significantly changed, spanning approximately 11 x 5 cm (AP x SI), and continue to extend to within 1 cm from the right nipple base. In the left breast, the biopsy proven retroareolar mass as well as the inferior left breast mass appear similar to the prior mammogram. There continue to be calcifications at the site of the inferior left breast mass, which span approximately 3.5 cm in the AP dimension and approach to within 1 cm of the inferior skin surface. Stable benign morphology mass seen in the left upper outer breast, compatible with biopsy proven fibroadenoma. LEFT BREAST ULTRASOUND
Bilateral breast malignancies with unchanged appearance on mammogram. The left breast masses and axillary lymphadenopathy appear improved on ultrasound. Continued surgical consultation is recommended. Results and recommendations were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.