Ms. Arlene E Pappalardo is a 59 year old female with a personal history of right breast mastectomy in 2011 for IDC/DCIS followed by radiation and left breast mastopexy. She has no current breast related complaints. Prior MRI showed a left breast intramammary lymph node. MAMMOGRAM: Three standard views and the 2 additional spot compression views of the left 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. Questionable interval increase in size of the focal asymmetry in the right upper outer breast, posterior depth, on the full field views though less so with compression and demonstrates central fat component on spot compression views. This is compatible with the intramammary lymph node which was also characterized as a benign lymph node on the prior MRI in 2013. Postsurgical change including calcified fat necrosis in the left breast is noted.There are no suspicious microcalcifications or areas of architectural distortion identified in the left breast.
No mammographic evidence of malignancy in the left breast. Benign intramammary lymph node in the upper outer left breast. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.