66-year-old female with BRCA 2 gene mutation and a strong family history of breast and ovarian cancer including her mother and two maternal cousins. Personal history of left breast benign MRI guided biopsy in 2011. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements (BiRADS Density Category B), unchanged in pattern and distribution. The left breast 5 o'clock position 1 cm mass is unchanged. MRI biopsy clip in the left breast is unchanged in position. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast.
No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.