Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother (diagnosed at age 48), aunt (diagnosed at age 60), and two cousins. Two standard digital views of both breasts with tomosynthesis were performed and reviewed with the aid of R2 CAD. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Numerous bilateral benign calcifications are similar to prior studies and are likely related to milk of calcium given the presence of cysts on MRI.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram.