BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous mammogram at this facility, dated 06/18/2011 and a comparison is made with the 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:               It should be noted that the patient presents with no current complaints.

There continues to be dense mammary tissue throughout both breasts.  No definite mass lesion is identified in comparing the current study with that of 06/18/2011, there does not appear to be any significant change in the appearance of either breast.

No malignant appearing calcifications are identified.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:        Unchanged from our previous study of 06/18/2011.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous examination, but just not remembered where and when.  An attempt should be made to locate these films with the patient’s help and have them sent to this department for comparison with the current 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 patient presents with a complaint of a decrease in right breast size.  This is noted on the mammogram.

There are scattered calcifications seen in the anterior aspect of the right breast.  These are somewhat localized and though these do not appear to be typically malignant in character, a breast MRI is suggested for further evaluation.

Otherwise, there is scattered heterogeneous breast tissue with no evidence of a mass lesion.  Predominantly, there is fatty replacement.

Some benign appearing calcifications are noted in the left breast.  The subcutaneous tissue and vascularity is normal.  The skin and the nipple are otherwise normal.  The right breast nipple appears to be flattened.

IMPRESSION:

1.          Decrease in right breast size as compared with the left.

2.         Somewhat grouped calcifications, which though not appearing malignant, a breast MRI is suggested for further evaluation of this patient.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous examination at this facility dated 10/23/2009 and comparison is made with the 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 dominant finding is fatty replacement with only a minimal amount of residual heterogeneous breast tissue remaining.  A small rounded sharply marginated density is seen in the upper outer aspect of the right breast most likely representing a fibroadenoma and present and unchanged when compared with the previous study.

No malignant appearing calcifications are seen.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:        Unchanged from our previous study of 10/23/2010.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at Radiology Imaging Associates, dated 03/11/2010 and a comparison is made with the 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:               Comparing the current study with the previous exam of 03/11/2010, there is no significant change.

There is scattered heterogeneous breast tissue, but no evidence of a mass lesion.  A density can be seen in the upper outer aspect of the left breast, but this was present on the prior study and is unchanged.

The subcutaneous tissue and vascularity is normal.  The skin and nipples appear to be normal.

IMPRESSION:        Unchanged from a previous study of 03/11/2010.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at this facility, dated 02/02/2010 and a comparison is made with her previous examination.

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 patient presents with no current clinical complaints.  The patient had a lumpectomy in 1996 with radiation therapy involving the left breast.

In comparing the current exam with the previous study of 02/02/2010, there does not appear to be any significant change in the appearance of either breast.

There is significant asymmetry in breast size with the left breast being considerably smaller than the right.  There is no evidence of a mass lesion.  There is scattered heterogeneous breast tissue seen in both breasts.

The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:        Unchanged from our previous study of 02/02/2010.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had bilateral breast implants in 2008.

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:               Patient presents with a milky discharge from the left nipple.  Prior to displacement of the breast implants, no abnormalities can be seen.

With displacement of the implants, there is dense mammary tissue seen bilaterally.  There is no evidence of a mass lesion however.

No malignant appearing calcifications are seen.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.  In view of the patient’s left nipple discharge, particular attention is paid to the subareolar area on the left, but no abnormality is seen.

IMPRESSION:

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient states that she has had a previous study, but is uncertain as to where perhaps at RIA.  These films should be located and sent to this department for comparison with the current 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 patient presents with no current complaints.  The dominant finding is fatty replacement with only a minimal amount of residual heterogeneous breast tissue remaining in either breast.  There is no evidence of a mass lesion.

Benign calcifications are noted.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient states that she feels a lump superior to the left nipple.  This palpable lesion has been present for two weeks.

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:               There is seen to be bilaterally dense mammary tissue.  No definable lesion can be seen in the anterior aspect of the left breast superior to the nipple.  However, an ultrasound examination of the left breast is suggested for further evaluation.

Some scattered benign appearing calcifications are seen.  No malignant appearing calcifications are identified or suspected.

The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:        An ultrasound examination of the left breast is suggested for further evaluation.

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

Thank you for the referral.

XXXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at this facility, dated 01/10/2010 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 patient presents for this study with no current complaints.  Also, comparing the current study with that of 01/10/2010, there has been no significant change.

The dominant finding is fatty replacement with only scattered heterogeneous breast tissue remaining in both breasts.  There is no evidence of a mass lesion.

No malignant appearing calcifications are seen.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.

IMPRESSION:        Unchanged from our previous study of 01/10/2010.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study in 2010.  This film should be obtained and sent to this department for comparison with the current 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:               There continues to be dense mammary tissue seen in the anterior aspect of both breasts.  The appearance is symmetrical and there is nothing to suggest a mass lesion.

A solitary benign calcification is noted in the right breast.  The subcutaneous tissue and vascularity is normal.  The skin and nipples are normal.  Scattered small adenopathy is seen in the tail and axilla of the left breast.

IMPRESSION:

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM WITH CAD EVALUATION

BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient was complaining of right breast pain and an ultrasound examination of 03/05/2012 suggested a small solitary density in the right breast.

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

FINDINGS:               In comparing the right and left breasts, no abnormality is seen.  Specifically, I see no evidence of a density in the upper outer aspect of the right breast.

No malignant appearing calcifications could be seen.

IMPRESSION:        Normal appearing breasts with no evidence of a mass lesion and no evidence of asymmetry.

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.

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.