Ms. Smith is a 40-year-old female who was recalled from screening for right breast calcification and left breast focal asymmetry. Three standard views of both breasts as well as 3 additional right spot magnification views and 3 additional left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Again seen are round, highly likely benign morphology, loosely grouped calcifications in the right upper outer breast.Additionally, the focal asymmetry in the left upper inner breast persists on spot compression views though with typically benign features.Subsequently targeted left breast ultrasound was performed.ULTRASOUND
Oval, mixed echogenicity lesion in the left upper inner breast, which may represent developing fat necrosis or a complicated cyst. Typically benign morphology loosely grouped calcifications in the right upper outer breast. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months to ensure stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).