A patient submitted outside study for review. Submitted for review are digital mammographic images (4/21/2016), ultrasound images of right breast (4/21/2016), breast MRI (5/5/2016) performed at outside institution. DIGITAL MAMMOGRAPHIC IMAGES (4/21/2016):The breast parenchyma is mostly fatty replaced (BiRADS Density Category A). A small benign-appearing, circumscribed round mass is present at upper outer quadrant in the right breast.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. ULTRASOUND IMAGES OF RIGHT BREAST (4/21/2016):Multiple images of right nipple are obtained. No abnormal findings are present within the provided images. One normal-appearing lymph node is visualized in the right axilla.BREAST MRI (5/5/2016):Breast MRI was performed with a protocol outlined in the outside radiology report. Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.A small cyst is visualized on T2-weighted images at upper outer quadrant in the right breast, corresponding to the small benign-appearing round mass seen on the mammogram.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.Nipples are enhancing symmetrically, without any abnormal findings.
No mammographic, sonographic or MR evidence for malignancy in either breast.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter.