Screening bilateral breast ultrasound sample dictation

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Clinical History: [ ] year old woman referred for bilateral breast ultrasound. [ ]


Comparison: [ ]


Technique: Bilateral breast ultrasound dated [ ]


Findings: Real time ultrasound of both breasts was performed as per clinical request. There is no sonographic evidence of a discrete cystic or solid lesion in either visualized breast.


Impression:


No sonographic evidence of a lesion in either breast.


Recommendation:


Screening mammogram in [ ]


Findings and recommendations were discussed with the patient following this evaluation.