A patient submitted outside study for review. Submitted for review are standard mammogram (5/9/2014), and breast MRI (4/1/2014) performed at Advanced Medical Imaging in Bozeman, Montana. For comparison, standard mammogram (3/19/2014) is available. Patient is a known BRCA1 gene mutation carrier. MAMMOGRAM (5/9/14): Three standard views of both breasts were obtained with tomosynthesis. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. Benign appearing lymph nodes are projected over both axillae.Bilateral Breast MRI (4/1/14): Bilateral breast MRI was submitted, however the imaging set is incomplete. Request has been made for resubmission of the MRI, which will then be dictated separately.
1.No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Given the patient's known genetic mutation and breast density, annual screening MRI should also be considered.2. Incompletely submitted MRI images. Request has been made for resubmission of the MRI, which will then be interpreted separately.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter.