A patient submitted outside study for review. Submitted for review are digital mammographic images (7/20/16), ultrasound images of both breasts (7/20/16), breast MRI (8/2/16) performed at outside institution. DIGITAL MAMMOGRAPHIC IMAGES (7/20/16):The breast parenchyma is heterogeneously dense (BiRADS Density Category C). Architectural distortions are present at upper outer quadrant in the left breast.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in right breast. ULTRASOUND IMAGES OF BOTH BREASTS (7/20/16):In the left breast at 12:30 position, there is a spiculated hypoechoic mass measuring 16 x 13 mm. This mass corresponds to the architectural distortions on the mammogram. Hypo-/anechoic mass likely cysts are detected at 12:00, 3:00, and 6:00 position in the left breast. No abnormal findings are detected in the right breast or right axilla, except for a cyst in the right retroareolar region.Per outside report, the pathology of the left breast mass is malignant.BREAST MRI (8/2/16):Breast MRI was performed with a protocol outlined in the outside report. An enhancing mass is present at 12:30 position in the left breast, measuring 16 x 21 x 14 mm (AP x LR x CC) in the left breast, corresponding to sonographic and mammographic abnormality. A few small cysts are seen in the left breast.No abnormal enhancement is seen in right breast. No abnormal axillary lymph nodes are identified in either axillary region.
Unifocal malignant mass in the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.