Patient with recent fall and bruise of the left breast with palpable lesion. Three standard views of the left breast and 2 spot compression views 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 a 20 mm mass superficially located in the left upper outer quadrant with a streaky band of focal asymmetry extending 67 mm centrally. The round subcentimeter focal asymmetry in the central breast at anterior depth is stable. LEFT BREAST ULTRASOUND
Findings most compatible with a left upper outer breast hematoma and fat necrosis. Short term follow up is recommended to ensure resolution. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram and possible mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).