Wednesday 7 August 2013

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION


BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

CLINICAL HISTORY:       There is no positive history of breast cancer in the family.

No history of previous breast biopsy.

INDICATION:          Routine examination.

No palpable lump, no symptom.

COMPARISON:       No previous study available for comparison.

TECHNIQUE:          CC and MLO views of each breast were obtained along with CAD evaluation.

FINDINGS:             There is moderately dense parenchyma limiting the sensitivity of the study.

Benign appearing calcifications are seen.

No definite dominant mass, architectural distortion, or abnormal cluster of microcalcification seen.

There is no other significant abnormality noted.

If there is any clinical concern, further evaluation with ultrasound and MRI may be considered.  If there is no clinical concern, routine annual mammographic study is suggested.

IMPRESSION:

BI-RADS Clinical Assessment Category 2:  Benign finding.


Thank you for the referral.
XXXXXXXX, M.D.

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