43 year old female who was recalled from screening mammogram for 17 mm focal asymmetry in the right breast 12 o'clock position . 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. The focal asymmetry in question most likely represents glandular tissue on spot compression views Ultrasound: Targeted right breast upper outer quadrant ultrasound was performed. Normal glandular tissue noted on ultrasound. No suspicious cystic or solid mass seen.
No mammographic 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.