62-year-old with history of right breast cancer status post lumpectomy, radiation and chemotherapy. Three standard views of both breasts and lumpectomy magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No new dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Postsurgical changes in the right breast are seen, with distortion, density and multiple surgical clips. Benign dystrophic calcifications have continued to develop. Skin thickening compatible with radiation therapy to the right breast also noted. Several asymmetries in the left breast are unchanged, including in the left medial breast. It is noted that this mammographic appearance is unchanged since before the time of her staging MRI in 2012.
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.