Bilateral call back for left breast mass and right breast calcifications. An ML view and two spot 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(BiRads Density Category B), unchanged in pattern and distribution. Left upper outer quadrant mass persists with spot compression. Calcifications in the right lower outer breast appear to layer on the ML magnification view and appear smudgy on the CC magnification view, suggesting milk of calcium. Adjacent blood vessels are noted. ULTRASOUND
1. Mass in the left upper outer quadrant for which ultrasound-guided biopsy is requested. Benign etiologies are favored, though malignancy is not entirely excluded.2. Probably benign calcifications in the right breast, suggestive of milk of calcium on mammography and clustered microcysts on ultrasound. Six-month follow-up right mammogram is recommended to ensure stability.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.