A patient submitted outside study for review. Submitted for review are screening mammogram dated 3/30/2015 and diagnostic mammogram and ultrasound dated 4/2/2015 performed at Franciscan Healthcare-Munster. Screening mammogram 3/30/2015: Two standard views of both breasts were obtained. The breast parenchyma is mostly fatty replaced, distributes fairly symmetrically in both breasts. The patient was recalled for an ovoid circumscribed asymmetry measuring 4 mm in the medial right breast seen only on the CC view with no definite correlate is seen on MLO view. Diagnostic mammogram and ultrasound dated 4/2/2015:Mammogram: The asymmetry in the medial breast persists on spot compression views and has benign morphology. On the MLO full field view a correlate is identified in the inferior breast. Ultrasound: A possible pseudolesion was identified in the inferior right breast at 6:00.
Repeat right breast ultrasound is recommended to evaluate the benign morphology asymmetry seen on mammography and evaluate for a correlate for the questionable lesion seen on prior ultrasound at 6:00 position.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: T - Take Appropriate Action - No Letter.