Ms. Wilkins is a 76-year-old female with history of left breast lumpectomy in 2003 for intraductal papillary carcinoma. No family history of breast cancer. Patient is asymptomatic. 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. Linear marker was placed on the scar overlying the left inferior breast, at site of prior lumpectomy incision. Scattered benign calcifications are reidentified in both breasts. Stable circumscribed isodense mass within the left upper outer quadrant anterior depth, likely representing simple cyst seen on MRI study of 2003. There are no new masses, suspicious microcalcifications or areas of architectural distortion in either breast.
Stable postlumpectomy 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. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.