62 year old female who was recalled from screening mammogram for calcifications and focal asymmetry in the right breast. An ML view and three spot 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 density, unchanged in pattern and distribution. Focal asymmetry in the right outer breast persists with benign morphology. The right outer breast calcifications are linear in distribution and pleomorphic in morphology. These are discontinuous but span 4-5 cm. ULTRASOUND
1. Right breast calcifications for which stereotactic biopsy is recommended. The patient should hold her aspirin 5 days before the biopsy is performed, if possible. Recommendation was discussed with the patient.2. Simple cysts in the right breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.