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        </style></HEAD><BODY><div class="header"><h1>Exam Results</h1></div><table class="studymetadata" border="0" cellspacing="10"><tr><td nowrap=""><strong>Name:</strong>GOLLNER JANICE CAROLYN  </td><td nowrap=""><strong>Patient ID/MR #:</strong>3653759</td><td nowrap=""><strong>Patient DOB:</strong></td></tr><tr><td><strong>Exam Description:</strong><u>MAM DIGITAL SCREENING BILATERAL</u></td><td><strong>Accession #:</strong>21036284PRV</td><td nowrap=""><strong>Date Of Exam:</strong>20210408</td></tr><tr><td nowrap=""><strong>Referring Physician:</strong>GERSH FELICE L  </td></tr></table><div class="resultcontainer"><h2 class="resultheader">FINAL REPORT: MAM DIGITAL SCREENING BILATERAL AT 0926 HOURS
                </h2><p class="transcription"><strong>
                        Transcribed on 20210409 at 2021</strong></p><div class="resulttext"><p class="interpretationtext"><InterpretationText xmlns="">BILATERAL DIGITAL SCREENING MAMMOGRAM
<BR />
<BR />CLINICAL HISTORY:
<BR />Patient is 65 years old and is seen for screening. The patient has a history of breast cyst aspiration in June, 2016 (benign). The patient has the following family history of breast cancer:  mother at age 45 and maternal aunt. The patient has no family 
<BR />history of ovarian cancer.
<BR />
<BR />COMPARISON:
<BR />The present examination has been compared to prior imaging studies performed at Orange Coast Women's Medical Group on 04/13/2016, and at Saddleback on 12/11/2012, 12/18/2013 and 03/23/2015.
<BR />
<BR />TECHNIQUE:
<BR />Digital mammographic images were obtained using a Hologic Dimensions mammographic system. Views obtained: bilateral craniocaudal and mediolateral oblique.
<BR />
<BR />MAMMOGRAM FINDINGS:
<BR />The breasts are heterogeneously dense, which may obscure small masses.
<BR />
<BR />There are no suspicious masses, malignant type microcalcifications or areas of unexplained architectural distortion.  There has been no significant interval change.
<BR />
<BR />
<BR />There is no mammographic evidence of malignancy.
<BR />
<BR />Suggest this patient return for her routine annual screening mammogram in 1 year.
<BR />
<BR />ACR BI-RADS Category 1 -  Negative.
<BR />
<BR />Life-time breast cancer risk (Modified v8 Tyrer-Cuzick/IBIS)*: 21.0\% (Greater than 20-25\% is considered increased)
<BR />
<BR />[*Note that this risk estimate may vary from those provided on reports prior to 10/31/2019, which were based on version 7 of the Tyrer-Cuzick/IBIS risk model. Version 8 newly incorporates breast density into the risk assessment. The modified IBIS risk 
<BR />estimate may be higher or lower than a formal IBIS estimate, depending upon the patient's history.]
<BR />
<BR />Electronically signed by:    PEGGY PUGH, M.D., 04/09/2021 09:19:59</InterpretationText></p></div></div></BODY></HTML>