45-year-old female with right breast mass found on screening mammogram. DIGITAL DIAGNOSTIC RIGHT MAMMOGRAM:Three standard views of the right 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 right upper outer breast mass persists on compression views. No associated calcifications were identified.RIGHT BREAST ULTRASOUND:A targeted right ultrasound was performed for the mammographic area of concern. A 1.5 x 1.2 x 1.5 cm, hypoechoic, ill-defined right breast mass with increased vascularity was identified at the 10 o'clock position 7 cm from the nipple.
Hypoechoic, ill-defined mass of the right breast is suspicious for malignancy. Ultrasound-guided biopsy of this lesion is recommended for further evaluation.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.