History of invasive ductal carcinoma grade 3 in the left breast and a metastatic left axillary lymph node. Outside study performed at Advocate Christ Center for breast care dated 9/16/2015. There are two standard views of both breasts which were performed digitally with tomosynthesis. Only the C view portion of tomosynthesis can be reviewed. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. There is an enlarged left axillary lymph node with a biopsy clip within it. Given the extremely dense nature of the breast tissue, there is no evidence of the malignant mass as revealed on subsequent MRI. Scattered bilateral calcifications are noted. Suggestion of underlying right breast cysts on the MLO view, as seen on MRI.
Known left breast cancer. Limited mammogram due to breast density. Please refer to subsequent breast MRI dated 9/18/2015 for additional details and recommendations.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.