57 year old female who was recalled from screening mammogram for new right upper outer quadrant mass. Mammogram: An ML view and two spot compression views of the right 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, unchanged in pattern and distribution. A 5 mm spiculated mass persists on spot compression views in the right upper outer quadrant.Ultrasound: Targeted right upper quadrant ultrasound was performed. Right breast 10 o'clock position 4 cm from the nipple, there is a suspicious taller than wide hypoechoic mass measuring 5 x 4 mm, which most likely responsible mammographic abnormality.
Suspicious spiculated 5-mm mass in the right breast 10 o'clock position on mammogram and ultrasound, needs further evaluation with ultrasound guided biopsy.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.