45-year-old female recalled from screening for further evaluation of asymmetries bilaterally. No current breast complaints. LEFT BREAST DIGITAL DIAGNOSTIC MAMMOGRAPHY: Three standard 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. The focal asymmetry in the right outer retroareolar region disperses into normal breast parenchyma on spot compression. The asymmetry in the left upper inner and left lower inner breast persists with spot compression.TARGETED LEFT BREAST ULTRASOUND: There is no evidence of a cystic or solid mass in the left upper inner or left lower inner breast.
High probability benign asymmetric glandular tissue in the left breast. No mammographic evidence of malignancy. Comparison to previous mammograms from outside institution would be helpful in determining stability. If the patient cannot obtain prior mammograms for comparison and 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: 3B - Followup at Short Interval (1-11 Months).