Ms. Villa is a 67 year-old female with left breast ILC/LCIS status post lumpectomy with positive margins. MRI demonstrated abnormal enhancement separate from the lumpectomy bed. Patient subsequently underwent left breast simple mastectomy and hormonal therapy. No family history of breast cancer. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. Stable well circumscribed oval isodense masses within the right upper outer quadrant, with imaging features suggestive of benign intramammary lymph nodes on prior MRI study of 12/22/2015.No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast.
No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.