74-year-old female with history of left DCIS status post mastectomy in 2014, and right intramammary cysts. Family history is positive for breast cancer in maternal aunt and cousin. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is , unchanged in pattern and distribution. Redemonstrated right upper central anterior architectural distortion, unchanged dating back to 2013. Redemonstrated partially obscured masses in the right breast, proven intramammary cysts on MRI of 2014. Redemonstrated diffusely scattered benign microcalcifications of the right breast.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in the right breast.
No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Considering patient's history of mammographically and sonographically occult left breast cancer and high breast density, adjunctive annual screening with bilateral breast MRI would be useful. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.