A patient submitted outside study for review. Submitted for review are diagnostic bilateral mammogram and targeted bilateral retroareolar ultrasound dated 3/30/2014 and breast MRI dated 4/2/2015 performed at Future Diagnostics Group. No comparisons were available at the time of dictation. Diagnostic mammogram dated 3/30/2015: Three standard views of both breasts, additional left XCC, and 2 right spot magnification views were obtained. The breast parenchyma is composed of scattered fibroglandular elements. There is right breast skin thickening. Calcifications are noted in the right retroareolar area. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. Targeted bilateral breast ultrasound dated 3/30/2015: Targeted bilateral retroareolar ultrasound (2 images) was submitted. No cysts or masses seen.Breast MRI dated 4/2/2015: There is moderate background parenchymal enhancement. Focally enhancing nipple and periareolar tissue without underlying suspicious mass or non mass enhancement. Skin thickening measures up to 6 mm in the nipple area.
Right nipple and periareolar thickening and enhancement seen on mammogram and MRI without underlying mass. Recommend surgical consultation and skin biopsy.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter.