Ms Wachowski is a 59-year-old female with history of right breast lumpectomy for DCIS/IDC in 2009, followed by radiation and hormonal therapy. Personal history of benign MRI-guided biopsy of the left breast in 2009. No family history of breast cancer. Asymptomatic patient presenting for annual follow-up. Three standard 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 elements (BiRADS Density Category B), unchanged in pattern and distribution. A linear marker is placed on the scar overlying the right breast. There are stable post-lumpectomy changes present in the right breast, including architectural distortion, increased density, benign dystrophic calcifications and surgical clips. Biopsy clip marker within the left inner central breast is redemonstrated from prior benign MRI biopsy. There are no new masses, suspicious microcalcifications or areas of architectural distortion identified in either breasts.
Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.