53 year old female status post left lumpectomy for IDC in October 2013 , followed by radiation therapy presents today for routine follow up. Patient is currently on anastrozole. No current breast complaints. Three standard views of both breasts and 2 spot magnification views of left 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. Scar marker overlies area of lumpectomy in the left upper inner quadrant with architectural distortion/scarring and surgical clips at that site. No suspicious calcifications seen on spot magnification views. 3 clips from prior benign biopsies identified in the right breast and 2 clips from prior benign biopsies identified in the left upper outer quadrant and a third clip identified in the left retroareolar region. Scattered benign calcifications seen in both breast. Few subcentimeter benign morphology masses in the right upper-outer quadrant are mostly unchanged from prior study and most likely correspond to cysts as seen on prior MRI dated 5/23/2013No dominant mass, suspicious microcalcifications or new areas of architectural distortion in either breast. Surgical clips identified in the left axillary region.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.