Patient is a 67-year-old female who presents for diagnostic imaging. Her most recent screening mammogram demonstrated a focal asymmetry in her left breast. DIAGNOSTIC MAMMOGRAM OF LEFT BREAST: Three standard views of left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular is stable elements, unchanged in pattern and distribution. The focal asymmetry in the upper inner left breast on the prior screening mammogram is again noted on today's diagnostic mammogram with spot compression.TARGETED ULTRASOUND OF THE LEFT BREAST:Sonographic imaging of the upper inner left breast demonstrates a 4 x 4 x 3 mm irregular mass with irregular margin at the 10:00 location, 7 cm from the nipple. This mass demonstrates internal flow, posterior shadowing and antiparallel orientation.
4 mm irregular mass in the left breast. Ultrasound-guided biopsy is recommended for histologic evaluation. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.