A patient submitted outside study for review. Submitted for review are screening mammogram (1/6/2015), screening whole breast ultrasound (2/10/2015), images from ultrasound guided right breast biopsy and post procedural mammogram (2/27/2015), and MRI (3/5/2015) performed at Advocate Illinois Masonic Hospital. For comparison, mammogram and ultrasound dated 7/3/2013, and mammogram dated 7/16/2012 are available. MAMMOGRAM (1/6/2015): Two standard views of both breasts were obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Scattered benign calcifications are present. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. Benign appearing lymph nodes are projected over both axillae.WHOLE BREAST ULTRASOUND (2/10/2015): Multiple images from bilateral screening whole breast ultrasound are submitted. At the two o'clock position of the right breast, 5 cm from the nipple, there is an irregular, hypoechoic mass measuring 1.0 x 0.8 x 0.9 cm. This mass demonstrates apical vascularity on Doppler imaging. Elsewhere in both breasts, multiple subcentimeter anechoic, simple cysts are present.IMAGES FROM ULTRASOUND GUIDED RIGHT BREAST BIOPSY AND POST PROCEDURAL MAMMOGRAM (2/27/2015): Images from ultrasound guided biopsy of the right breast mass at the 2:00 position, 5 cm from the nipple were submitted. Targeting appears appropriate. A clip was left at the biopsy site. Post procedural unilateral right CC and ML views demonstrate a coil-shaped clip within the central inner right breast.MRI (3/5/2015): Heterogeneous fibroglandular tissue is noted bilaterally, with moderate background parenchymal enhancement. A 0.7 x 0.7 cm enhancing mass is present within the inner, slightly upper right breast, approximate 2:00 position. Susceptibility artifact from biopsy clip is noted adjacent to this mass, compatible with the patient's known malignancy. The left breast is unremarkable. No abnormal lymph nodes are present within the axillae.
Enhancing 0.7 cm mass with adjacent biopsy clip at the 2:00 position of the right breast, compatible with the patient's known malignancy.BIRADS:6 - Known cancer. RECOMMENDATION:T - Take Appropriate Action - No Letter. 