45-year-old female with history of left IDC/ILC treated with lumpectomy and sentinel lymph node biopsy in December 2014, followed by chemotherapy and radiation therapy. History of benign stereotactic biopsy in 2012. There is No family history of breast cancer. No current breast complaints. Three standard views of both breasts with additional spot magnification views of the lumpectomy were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense (BiRADS Density Category C), which may obscure small masses, unchanged in pattern and distribution. Post lumpectomy changes are reidentified in the left central outer breast including postsurgical architectural distortion and surgical clips within the lumpectomy bed. Diffuse left breast skin thickening likely reflects post radiation changes. Surgical clips project over the left axilla compatible with sentinel lymph node biopsy.Redemonstrated right upper outer biopsy clip marker from prior stereotactic biopsy in 2012. Previously reported right upper outer partially circumscribed partially obscured masses, confirmed simple cysts on prior MRI of 2014, are no longer visualized and have likely involuted. Stable central small calcified oil cyst.No new dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast.
No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.