Ms. Duran is a 45 year old female with a personal history of left breast lumpectomy in 2011 for IDC/DCIS treated with chemotherapy, radiation, and tamoxifen therapy. Family history of breast cancer in maternal aunt. She has no current breast related 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), unchanged in pattern and distribution.A linear marker is placed on the scar overlying the left breast. There are stable post-lumpectomy changes present in the left breast, including architectural distortion, increased density, and surgical clips. Bilateral clips from benign MRI biopsies are unchanged in position. There are no new masses, suspicious microcalcifications or areas of architectural distortion identified in either breast.
Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. All results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.