Patient presents for a left breast diagnostic mammogram after screening mammogram was read abnormal at an outside institution. The patient notes a palpable area that she stated at the time of the clinic appointment has only been present since she had the outside screening exam. Three standard views of the left breast and multiple spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Under the area of palpable concern, a mixed echogenicity superficially located area is suggestive of fat necrosis measures 9 mm. It is noted that if anything, the area appears less prominent on this exam compared to the screening exam, suggesting some interval resolution. Elsewhere, a few round benign scattered asymmetries are present. Note is made that these largely compress with spot views, a finding which we have observed with cysts. ULTRASOUND
Probable fat necrosis at the site of palpable concern and scattered cysts in the left breast. No suspicious findings on mammography or ultrasound. Though the patient states her palpable concern occurred only after her outside screening mammogram, that finding in fact appears present on the outside screening exam from this year. Therefore, it would be safest to ensure that this continues to resolve at a 6 month interval mammogram. The patient has been seen in surgical clinic for correlation with physical exam. BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).