65-year-old female with history of right breast cancer with metastatic right axillary lymph node involvement status post neoadjuvant chemotherapy. Follow-up examination. Three standard 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(BiRads Density Category B), unchanged in pattern and distribution. Again seen are three biopsy clips in the right upper outer breast correlating with known sites of disease. Asymmetries in the right outer breast posterior depth remain decreased in size compared with prior studies from September 2015. There is no significant mammographic asymmetry surrounding the additional anterior biopsy clip.ULTRASOUND
Favorable treatment response with decrease in size of index right breast malignancy and metastatic right axillary lymph node as described above. No measurable disease is present in the more anterior location of the previously biopsied satellite lesion.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.