38-year-old female with history of lumpectomy for right breast DCIS in 2015 presents for annual mammography. Patient received tamoxifen, but no radiation. No current breast related complaints. Three standard views and spot magnification views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography (BiRads Density Category D), unchanged in pattern and distribution. There are two linear scar markers overlying the right breast. There are postsurgical changes of the right breast, noting surgical clips. There is a rod-shaped biopsy clip in the upper outer posterior right breast. There are amorphous calcifications anterior and posterior to the clip, spanning approximately 25 mm. There are amorphous calcifications in the lower inner right breast at anterior-mid depth spanning approximately 1.5 cm.There is a 4 mm cluster of calcifications in the upper outer posterior left breast. More laterally, there is a second cluster of calcifications in the upper outer left breast at posterior depth, best seen on the CC view, measuring approximately 3 mm. There is a 1.8 cm partially circumscribed oval mass in the upper outer left breast adjacent to the calcifications, compatible with a cyst, better seen on breast MRI dated 8/18/2106.
Postsurgical changes from right breast lumpectomy. Indeterminate calcifications in the upper outer right breast, lower inner right breast, and upper outer left breast. Comparison with prior imaging is recommended to evaluate for stability and/or interval changes.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison.