BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION - 22

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:           The patient has had a previous study here, dated XXXXXXX and a comparison is made with her previous study.

TECHNIQUE:           CC and MLO views of each breast were obtained along with CAD evaluation on the digital mammogram machine and the CAD evaluation was reviewed.

FINDINGS:               The left nipple and areola are retracted.  Comparing the current study with the previous exam, this appears to have increased somewhat.  Also, there does appear to be some increase in tissue directly beneath the left nipple and areola and an MRI of the breast is suggested for further evaluation.

Otherwise, there is fatty replacement with scattered heterogeneous breast tissue.  Some increased density is seen in the anterior aspect of the right breast unchanged from the previous study.

The subcutaneous tissue and vascularity appears to be normal.  As noted, there is retraction of the left areola and nipple, which may have increased.  The right nipple is flattened.

IMPRESSION:         An MRI of both breasts is recommended for further evaluation of this patient.

BI-RADS Clinical Assessment Category 0:  Would recommend further evaluation as discussed.

Thank you for the referral.

XXXXXXX, M.D.