X rays Right Breast Report Template
CC and MLO views of the Right breast are obtained.
The breast is heterogeneously dense. This may lower the sensitivity of mammography.
No evidence of any mass lesion, calcifications, focal asymmetry or architectural distortion.
Skin and subcutaneous tissue appears normal.
Nipple areola complex appears unremarkable.
Pectoralis major muscle and axilla cannot be commented upon.
|
BIRADS |
Category |
Management |
Likelihood of Cancer |
|
0 |
Need additional imaging or |
Recall for additional imaging and/or await prior examination |
n/a |
|
1 |
Negative |
Routine Screening |
Essentially 0% |
|
2 |
Benign |
Routine Screening |
Essentially 0% |
|
3 |
Probably Benign |
Short interval follow-up( 6months) |
>0 % but < 2% |
|
4 |
Suspicious |
Tissue diagnosis |
4a- low suspicion for malignancy (>2% to < 10% ) 4b- moderate suspicion for malignancy (>10% to < 50%) 4c- high suspicion for malignancy (>50% to < 95% ). |
|
5 |
Highly suggestive of Malignancy |
Tissue diagnosis |
>95% |
|
6 |
Known biopsy proven |
Surgical excision |
n/a |
- No mamographic evidence of breast malignancy in present examination.
- BI-RADS Category I.
RECOMMENDATION : Routine screening Mammogram after 1 year, if clinically indicated.