52-year-old female with newly diagnosed left breast DCIS. In January 2014 she had a screening mammogram which revealed calcifications in the left breast. Stereotactic biopsy showed DCIS. She underwent wire localized lumpectomy on 3/3/14 in Michigan which revealed a close margin (<1 mm). Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. An intramammary lymph node is noted in the right outer breast, similar to the prior MRI. Post surgical changes with architectural distortion, increased density, and surgical clips are noted in the left retroareolar breast. No dominant mass, suspicious microcalcifications, or areas of architectural distortion are present in either 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram.