Status post excision of a borderline Phyllodes tumor. Three standard views of the right breast and multiple spot compression views 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. No suspicious microcalcifications or areas of architectural distortion in the right breast. Small obscured masses near the scar marker are probably cysts as can be seen on prior MRI. These are more apparent on the full field views than on spot views.ULTRASOUND
Numerous cysts, but no solid lesion is apparent. Given the complexity of her mammogram due to density and difficulty following on ultrasound due to numerous cysts, MRI may be the best future surveillance examination, if she qualifies based on her diagnosis, density and history. Other potential follow-up imaging such as automated whole breast ultrasound was discussed, and could be performed if desired by Dr. Jaskowiak.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.