60 year old female who was recalled from screening mammogram for left breast calcifications. No family history of breast cancer. MAMMOGRAM: An ML view and two spot magnification 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, unchanged in pattern and distribution. There is redemonstration of a developing cluster of calcifications in the upper outer left breast, which appear pleomorphic on spot magnifications views. There is questionable asymmetry associated with these calcifications. ULTRASOUND: A targeted left ultrasound was performed for the mammographic area of concern. Within the upper outer quadrant of the left breast, there is no solid or cystic mass.
Cluster of pleomorphic calcifications within the upper outer left breast. Stereotactic guided left breast biopsy is recommended. Result and recommendations were discussed with the patient, and all of her questions were answered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.