57-year-old female recalled from screening due to bilateral breast asymmetries. An ML view and two spot compression views of both breasts 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. Redemonstration of a focal asymmetry in the right upper outer breast, mid depth. On spot compression views this largely disperses, however there are small residual nodular foci within the region.The left breast there is also redemonstration of a focal asymmetry in the upper outer breast, mid depth. On spot compression views this also largely disperses, however there is some degree of persistent focal asymmetry with obscured margins. Targeted ultrasound of the right breast upper outer quadrant showed normal fibroglandular tissue. No suspicious lesion was identified.Targeted ultrasound of the left breast upper outer quadrant showed normal fibroglandular tissue. No focal suspicious lesion was identified.
Focal asymmetries in the upper outer quadrants of both breasts which largely disperse on compression imaging. Sonographic examination of the areas showed normal fibroglandular tissue. Based on these benign results, routine screening is recommended. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. 