59-year-old female with a history of left breast mastectomy with reconstruction in 2012 for IDC followed by chemoradiation and arimidex therapy. History of right breast reconstruction surgery. Three standard views of the right breast and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. An asymmetry in the right inferior outer breast disperses on spot compression views and is likely superimposed glandular tissue or related to her prior breast reconstruction procedure(s). A cyst in the right upper outer breast, confirmed by prior MRI is less discretely visible on today's exam. A few scattered benign calcifications are present.There is no new mass, suspicious microcalcifications or areas of architectural distortion identified in the right breast.
No mammographic evidence of malignancy. Benign asymmetries may relate to her reconstruction surgery. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.