49-year-old female presents with a history of clear intermittent left nipple discharge for approximately 12 months. Inverted left nipple for approximately two years. The patient states that she has always had "lumpy breasts". Three standard views of both breasts and spot compression views of the left retroareolar breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. There is asymmetric glandular density in the left retroareolar breast, which disperses with spot compression.ULTRASOUND
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.