50-year-old with history of benign right breast biopsy and family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Biopsy clip in the right upper outer breast with associated microcalcifications, not significantly changed. Other bilateral benign calcifications and asymmetries are also unchanged. Underlying benign morphology masses are also similar to prior studies, compatible with cysts as has been seen on prior MRIs.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Tomosynthesis for her screening exam is recommended. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.