BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION - 34

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study in XXXXXXX.  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:               It should be noted that the patient presents with no complaints.

The dominant finding is fatty replacement with only a very minimal amount of residual heterogeneous breast tissue remaining in either breast.

No malignant appearing calcifications are seen.  No mass is identified.  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 - 33

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at this facility, dated XXXXXXXX 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 clinical complaints.

In comparing our current exam with the previous study of XXXXXXX, there has been no significant change.  There is somewhat dense mammary tissue remaining in the anterior aspect of both breasts, but stable from 2009.

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

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

IMPRESSION:        Unchanged from our previous study of XXXXXXX.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION - 32

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at this facility, dated XXXXXXX 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.

Comparing the current study with the study of XXXXXXXX, there has been no significant change.  There continues to be somewhat dense mammary tissue bilaterally, but no evidence of a mass lesion.

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

IMPRESSION:        Unchanged from our previous study of XXXXXXXX.

BI-RADS Clinical Assessment Category 2:  Benign finding.

Thank you for the referral.

XXXXXXXX, M.D.

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION - 31

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study in Orange County, California.  This film should be obtained and sent to this department for comparison with her 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 appears to be symmetrical changes with residual mammary tissue seen bilaterally, which appears to be bilaterally symmetrical.  I see nothing to suggest a mass lesion within either breast.

A few benign appearing calcifications are seen.  No malignant appearing calcifications are identified.  The subcutaneous tissue and vascularity is normal.  The skin and nipples appear to be 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 - 30

BILATERAL DIGITAL SCREENING MAMMOGRAM WITH CAD EVALUATION

INDICATION FOR STUDY:         The patient has had a previous study at XXXXXXX.  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:               The dominant finding is residual dense mammary tissue.  Also, there is the suggestion of a 2 cm mass lesion in the central portion of the right breast.  Margins would appear to be smooth, but an ultrasound examination for further evaluation is recommended.

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

IMPRESSION:        An ultrasound examination of the right breast is recommended to evaluate the questioned mass lesion.

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

Thank you for the referral.

XXXXXXXXX, M.D.