Call back from screening mammogram for a focal asymmetry in the right breast 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 (BiRADS Density Category C), unchanged in pattern and distribution. An irregularly shaped focal asymmetry is seen at posterior upper outer quadrant in the right breast.Focused ultrasound of the right breast at upper outer quadrant is performed. There is an irregularly shaped hypoechoic mass measuring 8 x 4 mm with increased vascularity, corresponding to the mammographic findings.
Focal asymmetry at posterior upper outer quadrant in the right breast with sonographic correlate. Ultrasound-guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.