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Extremely dense fibro-glandular texture of both breasts with increased glandular elements.
The left breast shows a relatively large, globular, ill-defined spiculated soft tissue mass in its upper inner quadrant (11- 12 o'clock position), measuring about 5.0 X 4.5 cm in diameter. The mass shows few clusters of suspicious micro-calcifications, surrounded by area of architectural distortion and causes mild nipple retraction.
Multiple bilateral round and ovoid mass lesions are seen scattered in both breasts with the largest right retro-areolar mass is about 3 X 2 cm.
Normal contour and skin thickness of right breast as well as nipple-areola complex with no suspicious clusters of micro-calcifications architectural distortion.
A few small enlarged axillary lymph nodes are seen.