Ms. Cynthia Novak is a 49 year old female with a personal history of right breast cancer status post lumpectomy in 2012 followed by radiation and chemotherapy. MAMMOGRAM: 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. A linear marker is placed on the scar overlying the right breast. There are stable post-lumpectomy changes present in the right breast and right axilla, including architectural distortion, increased density, and surgical clips.Stable benign morphology mass, characterized as fibroadenolipoma on prior MRI, in the left upper outer left breast.There are no new masses, suspicious microcalcifications or areas of architectural distortion identified in either breast.
No mammographic evidence of malignancy. Postsurgical change in the right breast. Stable benign mass in the left breast. 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.