62 year old female status post lumpectomy for left breast invasive ductal carcinoma in February 2016, presents today for routine follow up. No current breast complaints. Family history of paternal aunt and first cousin diagnosed with breast cancer. Mammogram: Three standard views of both breasts, and additional spot compression views of the right upper outer and left inferior central breast were performed digitally and reviewed with the aid of R2 CAD 9.3 (10 images total). The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B). Interval left lumpectomy with expected postsurgical change including architectural distortion, surgical clips and skin thickening. Within the right inferior central breast, mid depth, a focal asymmetry persists on spot compression images. Benign calcifications are noted. No suspicious microcalcifications in either breast. Benign appearing lymph nodes and surgical clips are projected over the left axilla.Ultrasound: Targeted ultrasound was performed of the right breast. At 6:00, 3 cm from the nipple, there is a 1.0 x 0.6 x 1.0 cm isoechoic avascular lesion, that likely represents a solid highly likely benign mass versus complicated cyst, unchanged from prior breast MRI 12/31/2015 (ie. only a 6 month stability).
Right 6:00 mass with ultrasound correlate, stable since MRI 12/31/2015, but may be better evaluated on MRI. Status post left lumpectomy, with expected postoperative changes in the left breast. Given the findings of this exam, and the need to document stability of the findings from the prior MRI, a breast MRI is recommended at this time. BIRADS: 3 - Probably benign finding.RECOMMENDATION: G - Ductography/MRI/Etc.