Asymptomatic female presents for routine screening mammography. She has a history of bilateral benign breast biopsies. She has a family history of breast cancer in her twin sister diagnosed at age 28, and in another sister, diagnosed at age 39, who also was diagnosed with ovarian cancer. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Linear scar markers overlying both breasts. Distortion underneath the right breast scar marker is questionably increased this year, and spot compression views and ultrasound are recommended. Distortion the left breast is stable. Bilateral benign calcifications are stable.
Distortion underneath the right breast scar marker is questionably increased this year, and spot compression views and ultrasound are recommended.Screening breast MRI could also be considered based on her strong family history and the limitations of her mammogram due to her breast density and postsurgical changes.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required.