63 year old female who was recalled from screening mammogram for right breast calcifications. Family history of breast carcinoma in her mother at age 63 a maternal aunt at age 62. RIGHT DIAGNOSTIC MAMMOGRAM: An ML view and two spot magnification 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 densities. There is redemonstration of pleomorphic, branching calcifications within the upper outer right breast, a middle depth associated with a persistent, partially obscured mass. RIGHT BREAST ULTRASOUND: A targeted right ultrasound was performed for the mammographic area of concern. At the 11 o'clock position, approximately 3 cm from the nipple, there is an irregular hypoechoic mass with internal echogenic foci, and an echogenic halo measuring 1.3 x 1.2 x 2.1 cm. Mild internal vascularity is present.
Suspicious 2.1 cm mass with associated calcifications at the 11 o'clock position of the right breast for which ultrasound guided core needle biopsy is recommended. Findings and recommendations were discussed with the patient, and all questions were answered.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.