42-year-old female with history of benign left breast biopsy in 2015. Additional history of benign right breast biopsy in 1992. No current breast complaints. Family history of breast cancer (mother, maternal grandmother, three paternal aunts). Three standard views of both breasts and spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. There are asymmetries in the right outer breast on the cc view and in the left breast posteriorly on the MLO view. These asymmetries persist with spot compression Ultrasound was subsequently performed bilaterally.ULTRASOUND
1. Indeterminate mass in the 9:00 position of the left breast, for which ultrasound guided biopsy is recommended. 2. Otherwise benign examination as described above with numerous subcentimeter cysts in both breasts. These findings were discussed with the patient at the time of examination. Additionally, participation in research protocol MRI was also discussed and the patient was amenable to participation. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration.