BIRADS 1 (dense, no comparison) sample dictation

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TECHNIQUE: SCREENING [DIGITAL] MAMMOGRAPHY DATED [ ]


Clinical Indication: Screening mammography. Last clinical breast exam: [ ]


Findings:


No prior films are available for comparison. If films are submitted, comparison will be made and an addendum issued.


The breast tissue is extremely dense, which decreases the sensitivity of mammography. This makes physical examination relatively more important in this patient. There are no mammographically suspicious masses or suspicious clusters of microcalcifications.


Impression: No mammographic evidence of malignancy.


Recommendation: In the absence of clinical findings, a screening mammogram should be obtained in 1 year.


BIRADS 1: Negative