51-year-old female with large oval breast mass in the right upper mid breasts at least 5 cm, which was first noticed a month ago, and has significantly and quickly grown. Patient denies history of trauma or fevers/chills. History of benign right breast biopsy 20 years ago. Family history of breast cancer diagnosed in mother age 73. Three standard views of both breasts 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. A linear scar marker was placed over the right breast. Triangular palpable marker was placed over the right upper, slightly inner breast, mid depth partially obscured masses or large lobulated mass are noted under the palpable marker. Total extent measures 74 x 69 x 52 mm (AP X TR X CC). The patient cannot tolerate spot compression views due to pain.ULTRASOUND
Large complex solid and cystic mass in the right 12 o'clock breast, for which biopsy and surgical consultation are recommended. The patient was discussed with Donna Christian and an appointment with Dr. Swati Kulkarni was arranged. She is also scheduled for ultrasound guided biopsy that day. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.