43-year-old woman with right breast cancer recently completed chemotherapy presents for follow-up for treatment response and planning for surgery. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. An additional right MLO view was obtained. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. The regional asymmetry in the right breast upper outer quadrant spanning approximately 5 cm is unchanged. Associated pleomorphic calcifications at the site of this focal asymmetry extending posteriorly and inferiorly are also unchanged. A hydromark biopsy clip and three X shaped biopsy clips are seen in the right upper outer quadrant. A hydromark clip is also seen in the right axillary node.
No change in mammographic appearance of right upper outer quadrant breast mass with extensive pleomorphic calcifications. Results and recommendation were discussed with the patient.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.