78-year-old with history of left lumpectomy and radiation therapy. 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, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. Stable postoperative distortion, density and volume loss in the left breast. Surgical clips are seen in the lumpectomy bed and left axilla. MRI biopsy clip again seen on the right.Benign appearing lymph nodes are projected over the right axilla.
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.