62-year-old female with history of left breast MRI guided biopsy on 8/23/2010 demonstrating atypical lobular hyperplasia, questionable distortion in the right breast on prior mammogram September 2015 without sonographic correlate. Patient presents for 1 year follow-up examination. No current breast complaints. Bilateral inverted nipples since early age. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Clip from prior MRI biopsy identified in the left breast. Previously described architectural distortion in the right breast is not seen on today's imaging. Few scattered benign calcifications seen in both breasts.No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Benign appearing lymph nodes are projected over the left axilla.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.