A patient submitted outside study for review. Submitted for review are digital mammographic images (10/1/14), ultrasound images of left breast (10/1/14) performed at Regenstein Breast Imaging Center. DIGITAL MAMMOGRAPHIC IMAGES (10/1/14):The breast parenchyma is extremely dense, which limits the sensitivity of the mammogram . A scar marker overlays anterior upper outer right breast. Two marker clips are present in the left breast, from prior benign biopsy.There are two large circumscribed masses are seen in the left breast, which correspond to the benign cysts on MRI (4/21/15). Scattered benign calcifications are noted in left breast.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. On MRI (4/21/15), a suspicious lesion was present in the right breast and subsequent MRI guided biopsy revealed the lesion to be malignant. On retrospect, no abnormal findings are seen in the right breast on the mammogram dated 10/1/14.ULTRASOUND IMAGES OF LEFT BREAST (10/1/14):Three simple cysts are visualized in the left breast, at 3:00, 6:00 and 9:00 position.
No mammographic and sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.