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49 year old woman presented with recently diagnosed invasive ductal carcinoma with micropapillary features grade 2 left breast cancer presented to evaluate extent of disease
Summary of Prior Imaging:
Mammography: In the setting of extremely dense breasts, there is global asymmetry in the upper outer quadrant of the left breast anterior and middle depths. There is an incompletely visualized enlarged left axillary lymph node.
Ultrasound: Poorly delineated architectural distortion and hypoechoic masses with posterior acoustic shadowing is noted in the left breast from 10:00 to 3:00 1-7 cm from the nipple at the site of palpable mass. There are 2 enlarged left axillary lymph nodes.
Breast MRI: None
What is the overall BI-RADS assessment for this case?
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