A patient submitted outside study for review. Submitted for review are bilateral digital mammographic images (7/17/14), right digital mammographic images (7/24/14), left digital mammographic images (5/22/15), ultrasound images of right breast (7/24/14), ultrasound images of left breast (5/22/15), breast MRI (6/19/15) performed at Edward Hospital. For comparison, digital mammographic images (1/12/13, 12/4/10) are available. BILATERAL DIGITAL MAMMOGRAPHIC IMAGES (7/17/14):The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. RIGHT DIGITAL MAMMOGRAPHIC IMAGES (7/24/14):No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in right breast.LEFT DIGITAL MAMMOGRAPHIC IMAGES (5/22/15):No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in left breast.ULTRASOUND IMAGES OF RIGHT BREAST (7/24/14): There are no abnormal findings in the submitted images.ULTRASOUND IMAGES OF LEFT BREAST (5/22/15):There are no abnormal findings in the submitted images.BREAST MRI (6/19/15):MRI was performed with a protocol outlined in the outside radiology report.Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.
No mammographic, sonographic or MRI evidence of malignancy.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter.