Palpable left breast lump. Family history of breast cancer in sister at age 70. Three standard views of both breasts and 2 spot compression views of both breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. There is an irregular 3 cm hyperdense mass in the left upper inner breast at anterior depth with irregular margins without associated calcifications. No definite satellite lesions are seen.There is a focal asymmetry that measures 0.6 cm in the right lower outer breast persists on spot compression views.ULTRASOUND:
1. Irregular mass in the 11:00 o'clock position in the left breast is highly suspicious for malignancy. 2. Focal asymmetry in the right lower outer breast corresponds with normal appearing intramammary lymph node on ultrasound.Findings discussed with Dr. Jaskowiak and patient was scheduled for same day appointment.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: B - Surgical Consultation. 