80-year-old female with history of bilateral lumpectomies April 2015, on hormonal therapy. No current breast complaints. 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), with postsurgical changes of bilateral lumpectomies. No new dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. There is a small round benign morphology mass in the central left breast which appears slightly prominent but has also been seen on prior mammogram and MRI examinations, and may represent a proteinaceous cyst. A subcentimeter partially calcified oil cyst is noted in the left retroareolar region.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.