Case 50 continued

BI-RADS 0, Incomplete. A large focal asymmetry is present in the upper outer left breast. If we had comparisons showing this to be stable for many years, then it could be considered benign. We cannot call it "Probably Benign" until we've done the work-up with spot mags and ultrasound, so that answer is incorrect. Jumping to BI-RADS 4 or 5 now is premature.

Here is a spot magnification view:

Now what is your assessment?