A patient submitted outside study for review. Submitted for review are digital mammographic images of right breast (1/6/16, 12/22/15), images from canceled stereotactic biopsy of right breast (1/8/16), images from wire localization for right breast and specimen radiograph (1/25/16), breast MRI (6/17/15) performed at Cerner Imaging. For comparison, breast MRI (12/1/14, 11/14/14), digital mammographic images (11/21/14, 7/23/14, 7/22/13, 1/21/13), ultrasound images (11/21/14) are available. DIGITAL MAMMOGRAPHIC IMAGES OF RIGHT BREAST (1/6/16, 12/22/15):The breast parenchyma is heterogeneously dense (BiRADS Density Category C), unchanged in pattern and distribution. A cluster of developing coarse 5 mm calcifications is present in the right anterior 12:00 position in the right breast. A marker clip is seen at the posterior superior aspect in the right breast.IMAGES FROM CANCELED STEREOTACTIC BIOPSY OF RIGHT BREAST (1/8/16):Stereotactic biopsy of the right breast was canceled due to the presence of vein at close proximity of the target calcifications.IMAGES FROM WIRE LOCALIZATION FOR RIGHT BREAST AND SPECIMEN RADIOGRAPH (1/25/16):Single wire localization was performed for right breast calcifications. A wire was placed by superior - inferior approach. Specimen radiograph demonstrates the target calcifications at the central portion of the specimen. Per pathology report, the result was benign and concordant.BREAST MRI (6/17/15):Breast MRI was performed with a protocol outlined in the outside radiology report. Moderate motion artifacts are seen in the right breast at subtraction images. There are no suspicious enhancing lesions in either breast.
Status post right benign lumpectomy. Screening mammogram for the left breast has not been done for more than one year.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.