Ms. Cleary is a 52-year-old female with known multicentric invasive lobular carcinoma in the right breast and recent MRI demonstrating mass/nonmass enhancement in the left breast, presenting for further diagnostic workup of the left breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No specific correlate to the enhancing foci on the MRI is identified. LEFT BREAST ULTRASOUND
Segmentally distributed band of complex and clustered cysts in the left breast, corresponding to the non-mass enhancement identified on recent MRI. Ultrasound-guided biopsy with clip placement of two sites, including an anterior and posterior site, can be performed if clinically warranted. Results and recommendations were discussed with the patient as well as Dr. Bao. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.