Ms. Nichols is a 47-year-old female with history of right breast cancer status post mastectomy in 2008, implants 2009. History of chemotherapy and hormonal therapy. History of benign MRI-biopsy of the left breast in 2009. No current breast complaints. Three standard views and two implant displaced 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. There are no new masses, suspicious microcalcifications or areas of architectural distortion in the left breast. A biopsy clip is present in the left breast from prior benign MRI biopsy. An asymmetry in the left upper inner breast is not significantly changed since 2012.
No mammographic evidence of malignancy. 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.