A patient submitted outside study for review. Submitted for review are digital mammographic images (10/6/15) performed at Franciscan Alliance. For comparison, digital mammographic images (9/24/12, 3/10/14), ultrasound images of both breasts (3/10/14), breast MRI (3/8/14) are available. DIGITAL MAMMOGRAPHIC IMAGES (10/6/15):The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A few small focal asymmetries at lower inner quadrant in the right breast are unchanged. There are scattered benign calcifications in both breasts. No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. Followings are studies more than one year old:ULTRASOUND IMAGES OF BOTH BREASTS (3/10/14):Partially dilated ducts are seen in the left 11:00 position. Normal appearing lymph nodes are seen in the right axilla. No solid or cystic masses, or suspicious findings are seen in either breast.BREAST MRI (3/8/14):There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.Relatively strong parenchymal enhancement is seen at lateral aspect in the right breast.There are no suspicious findings in either breast.
No mammographic evidence for malignancy in either breast. Outside radiology report (10/6/15) states that there are abnormal findings in the left breast on ultrasound study, which has not been submitted for interpretation. Recommend submission of outside ultrasound study of the left breast.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter.