Case 7 Answer 2
When a FA is seen on a screening mammogram, and there are no comparisons to document stability, the finding is BI-RADS 0, and spot mags and ultrasound should be performed. At the time of diagostic work-up, it should be determined whether there is a palpable correlate to the density. If so, a biopsy is warranted.
You perform spot mags, and the density still looks like breast tissue. No underlying mass or distortion is found. An ultrasound reveals normal-appearing tissue. The patient reports that she has had a mammogram 10 years ago, but she cannot remember where. Now what is your assessment?