Mammogram status post lumpectomy sample dictation
CLINICAL HISTORY: [ ] year old woman status post [ ] lumpectomy for carcinoma in [ ]. The patient is now referred for follow up [ ] mammogram.
TECHNIQUE: [ ]
COMPARISON: [ ]
[ ] A scar marker was placed over the [ ] of the [ ] breast indicating cutaneous scarring from prior lumpectomy. Parenchymal distortion at the lumpectomy site is [ ] and compatible with post surgical scarring. [ ] [No suspicious mass or suspicious cluster of calcifications has developed in either breast.]
Findings and recommendations were discussed with the patient and she received a written record summarizing this report.
[BIRADS 2: Benign findings]