66 year old female who was recalled from screening mammogram for asymmetry in the right breast. No current breast complaints. MAMMOGRAM: Two standard views and one spot compression view 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. Oval asymmetry in the posterior inferior right breast persist only on the ML and spot MLO views and may represent a benign tortuous vessel. An ultrasound is recommended for further evaluation. ULTRASOUND:On physical exam, there is no visible or palpable abnormality.Targeted ultrasound was performed of the inferior right breast 3:00 through 6:00 through 9:00 positions for the mammographic area of concern. In the right breast 9:00 position 8 cm from nipple there is a 6 x 3 x 6 mm intramammary lymph node, could possibly correlate to the findings on mammogram. Incidental note is made of a 3 x 2 mm cyst in the right breast 9 o'clock position 6 cm from nipple. No suspicious masses identified.
No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.