67 year old female who was recalled from screening mammogram for cluster of incompletely characterized calcifications in the right superior breast. Mammogram: An ML view and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty(BiRads Density Category A), unchanged in pattern and distribution. 8 mm cluster of calcifications with associated density in the right breast 11 to 12:00 position needs further evaluation with ultrasound. Pleomorphic calcifications noted on spot magnification views.Ultrasound: Targeted right upper-outer quadrant ultrasound was performed. No definite target identified by ultrasound. Normal glandular tissue noted.
8 mm cluster of pleomorphic calcifications with associated density without a sonographic correlate in the right breast needs further evaluation with stereotactic core biopsy.Findings and recommendations discussed with the patient in detail.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.