BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         Prior mammogram from 06/07/2009 along with ultrasound of the breast done on July of 2009.  Previous biopsy, which the patient reported of the left breast and would recommend reference to the prior examination reports and pathology reports.  Patient indicated that family history of breast cancer with aunt.  No present palpable mass or symptoms.

FINDINGS:                CC and MLO views of each breast were obtained along with CAD evaluation on the digital mammogram machine and the CAD evaluation was reviewed.  The examination was compared to the prior study from 06/07/2009.  There is continued evidence of dense glandular tissue bilaterally limiting the sensitivity of mammography.  There is evidence of stereotactic biopsy of the left breast with clip in the lower inner aspect.  There are benign calcifications noted bilaterally.  There is no significant new area of suspicious cluster of microcalcifications, architectural distortion, skin thickening, or nipple retraction bilaterally.  If there is any further concern, ultrasound, MRI examination, further evaluation, or surgical consult may be considered.  If there is no further concern, would recommend routine annual mammographic examination.

BI-RADS Clinical Assessment Category 2:  Benign finding.

10-15% of the cancers are not identified by mammography. This usually occurs when a mass is of the same radiographic density as the surrounding breast tissue, emphasizing the importance of breast self-examination (BSE) and physical examination. A normal mammogram should not delay biopsy if a suspicious mass or abnormal findings are present upon physical examination.

The patient will receive a summary of the written mammography report.