66-year-old woman history of bilateral breast biopsies with pathology showing atypia presents for further evaluation of a right breast mass identified on CT 4/7/2016. Three standard 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. Linear scar markers were placed over both breasts. There is postsurgical distortion in the central left breast deep to the scar markers, stable dating back to 2013. There is an encapsulated mass in the right lower outer quadrant correlating to the finding on CT. The density of this mass is similar to the density of the breast tissue. Upon review of prior mammograms and MRI dating back to 2005, this mass is unchanged over many years. Overall imaging characteristics are consistent with a fibroadenolipoma (hamartoma), benign.There is no suspicious mass or microcalcification in either breast. A few scattered benign calcifications are present.
Right breast fibroadenolipoma, unchanged dating back to 2005 and correlating to the finding on recent CT. Postsurgical changes of both breasts. No mammographic evidence of malignancy. 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.