A patient submitted outside study for review. Submitted for review are:1. Bilateral diagnostic mammogram dated 7/1/2016 and ultrasound dated 7/1/2016 performed at . For comparison,12/17/2015 incomplete tomo images are available. Bilateral diagnostic mammogram and ultrasound dated 7/1/2016:Heterogeneously dense breast parenchyma noted bilaterally. Surgical clips identified in the left breast 12:00 position posterior depth with area of postsurgical distortion. Benign calcifications seen in both breasts.Ultrasound demonstrated an indeterminate hypoechoic area slightly taller than wide with spiculated margins in the left breast 12:00 position 7 cm from the nipple that measures 6 x 4 x 7 mm. A second lesion is identified in the left breast 12:00 position 3 cm from the nipple that measures 7 x 5 x 4 mm in the anterior depth.No abnormal axillary lymph nodes identified in the axillary region. No suspicious masses, or calcifications identified in both breasts.Subsequent MRI guided biopsy of 2 sites in the left breast performed. Diagnostic MRI is not submitted.
Mammographically occult, sonographically detected 2 indeterminate masses in the left breast 12:00 position. These lesions were subsequently biopsied under MRI guidance. Diagnostic MRI has not been submitted.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter.