58-year-old woman with right breast cancer status post adjuvant chemotherapy presents for follow-up. MAMMOGRAM: Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Density associated with the previously biopsied irregular mass in the right lateral breast has significantly decreased and margins are not well delineated, making it difficult to measure. Associated pleomorphic calcifications and position of the marking clip are unchanged.ULTRASOUND:Targeted ultrasound was performed for the mammographic and clinical area of concern.In the right lateral breast on 9:00 position, 8 cm from nipple, biopsy marker clip and with associated hypoechoic area measuring 9 x 9 x 10 mm seen, consistent with the biopsy-proven cancer. Internal vascularity is not present.
Significant interval decrease in size of biopsy-proven right lateral breast malignancy measuring up to 9 x 9 x 10 mm, previously measured 19 x 20 x 24 mm on ultrasound 8/24/2015.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.