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Case number:	141
Age:	47
Clinical presentation:	Premenopausal woman with increased risk of developing breast cancer in view of family history of breast carcinoma, presented for mammography screening. Examination did not reveal any lump or palpable lesion.

Mammography:

Breast composition:	ACR category b (there are scattered areas of fibroglandular density)
Mammography features:
‣ Location of the lesion:	None
‣ Mass:
• Number:	0
• Size:	None
• Shape:	None
• Margins:	None
• Density:	None
‣ Calcifications:
• Typically benign:	None
• Suspicious:	None
• Distribution:	None
‣ Architectural distortion:	None
‣ Asymmetry:	None
‣ Intramammary node:	None
‣ Skin lesion:	None
‣ Solitary dilated duct:	None
‣ Associated features:	None

Ultrasound:

Ultrasound features: None
‣ Mass
• Location:	None
• Number:	0
• Size:	None
• Shape:	None
• Orientation:	None
• Margins:	None
• Echo pattern:	None
• Posterior features:	No posterior features
‣ Calcifications:	None
‣ Associated features:	None
‣ Special cases:	None

BI-RADS:

BI-RADS Category: 1 (negative)

Case summary:

Premenopausal woman with increased risk of developing breast cancer presented for mammography screening. Diagnosed as BI-RADS 1 on imaging.

Learning points:

Mammography is the proven best tool for screening for breast cancer. High-risk women with a family history of breast cancer should undergo annual screening beginning earlier than women with average risk.