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Karis30

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MAMMO LEFT DX W OR WO COMPUTER AIDED DETECTION performed on: 2/9/2018 1:19

PM

Left BREAST BIRADS CATEGORY 4: Suspicious

Recommendation: Ultrasound-guided core biopsy is recommended. Also,

follow-up left breast ultrasound is recommended in 6 months.

IMPRESSION:

1. There is a 4 mm solid appearing nodule in the left retroareolar region

at 3:00 1 cm from the nipple. Ultrasound-guided core biopsy is

recommended.

2. Additional 4 mm cysts at 10:00 3 cm from the nipple, 1:00 4 cm from the

nipple and 3:00 3 cm from the nipple. Follow-up ultrasound is recommended

in 6 months.

HISTORY: R92.8: OTH ABN AND INCONCLUSIVE FINDINGS ON DX IMAGING OF BREAST

Clinical Indications: 1/24/2018 MAMMO BILAT SCREENING: Focal nodular

asymmetry in the posterior upper left breast. Recommend ML and XCCL whole

breast views, spot compression views and ultrasound examination of the

LEFT breast.

COMPARISON: January 24, 2018-July 16, 2014

Ordering Provider: WYNETTE G A (M.D.) AMAZONA

BREAST DENSITY: The breast tissues are heterogeneously dense, which may

obscure small masses.

FINDINGS: Left XCCL, ML and MLO spot compression views were performed.

There are several faint mostly obscured nodular densities in the upper

breast. No architectural distortion or spiculation is seen. There are no

suspicious clustered microcalcifications. There are a few faint scattered

microcalcifications and coarse calcifications.

Left breast ultrasound was performed for further evaluation. There is a 4

x 4 x 3 mm cyst at 10:00 3 cm from the nipple, a 4 x 4 x 3 mm cyst at 1:00

4 cm from the nipple and a 4 x 2 x 5 mm probable complex cyst at 3:00 3 cm

from the nipple. There is a 4 x 4 x 3 mm hypoechoic solid-appearing

rounded nodule at 3:00 1 cm from the nipple in the retroareolar region.

There are surrounding ductal structures.

These images are also analyzed using computer-aided detection equipment.

Interpreted by: Daniel Henshaw,