56 year old female status post mastectomy for invasive lobular carcinoma in 2013, presents today for routine follow up. No current breast complaints. Family history of breast osteoma in her mother at age 73 internal and at age 62. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. 2 biopsy clips are again seen unchanged in location at the site of the prior benign breast biopsies. Several benign morphology masses in the right breast which have previously been characterized as cysts on prior MRI and ultrasound examinations are stable or have decreased in size since the previous exam. There is no dominant mass, suspicious microcalcifications or areas of architectural distortion in the right breast. Benign appearing lymph nodes are projected over the right axilla.
Stable biopsy clips and stable to decreased size of benign cysts in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.