Ms. Duran is a 46 year old female with a personal history of left breast lumpectomy in 2011 for IDC and DCIS. Patient received radiation, chemotherapy, and hormonal therapy. There is posterior bilateral benign MR guided biopsies in 2010 (left breast-fibrotic breast tissue, right breast-papilloma). Family history of breast cancer in her maternal aunt. She has no current breast related complaints. Three standard views of both breasts and a left laterally exaggerated CC view 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 present. 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. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.