Patient presents for evaluation of focal asymmetry in the left central posterior breast. DIGITAL LEFT BREAST DIAGNOSTIC MAMMOGRAM: One ML, CC and 3 spot compression views of the left breast 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. Focal asymmetry in the left central posterior breast as noted on the CC view partially persists on the spot compression views. This could not be reproduced on the repeat full field CC view and is most likely due to positioning. No suspicious microcalcifications are present. TARGETED LEFT BREAST ULTRASOUND: No evidence of a cystic or solid mass in the central left breast.
High probability benign left central breast focal asymmetry without a sonographic correlate. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.