Transcribed Medical Transcription Sample Reports and Examples
Transcribed Medical Transcription Sample Reports and Examples

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Sample Type / Medical Specialty: Obstetrics / Gynecology
Sample Name: Full-Field Digital Mammogram (FFDM) - 1

Description: Bilateral Screening Mammogram Full-Field Digital Mammography (FFDM) (Benign Findings)
(Medical Transcription Sample Report)

EXAM: Digital screening mammogram.

HISTORY: 51-year-old female presents for screening mammography. Patient denies personal history of breast cancer. Breast cancer was reported in her maternal aunt.

TECHNIQUE: Craniocaudal and mediolateral oblique projections of bilateral breasts were obtained on mm/dd/yy. Comparison is made with the previous performed on mm/dd/yy. iCAD Second Look proprietary software was utilized.

FINDINGS: The breasts demonstrate a mixture of adipose and fibroglandular elements. Composition appears similar. Multiple tiny punctate benign-appearing calcifications are visualized bilaterally. No dominant mass, areas of architecture distortion, or malignant-type calcifications are seen. Skin overlying both breasts is unremarkable.

IMPRESSION: Stable and benign mammographic findings. Continued yearly mammographic screening is recommended.

BIRADS Classification 2 - Benign

1. A certain percentage of cancers, probably 10% to 15%, will not be identified by mammography.
2. Lack of radiographic evidence of malignancy should not delay a biopsy if a clinically suspicious mass is present.
3. These images were obtained with FDA-approved digital mammography equipment, and iCAD SecondLook Software Version 7.2 was utilized.

Keywords: obstetrics / gynecology, mediolateral, craniocaudal, fibroglandular, bilateral screening mammogram, breast cancer, screening mammogram, mammographic, mammogram, breasts, screening, mammography,
NOTE: These transcribed medical transcription sample reports and examples are provided by various users and are for reference purpose only. MTHelpLine does not certify accuracy and quality of sample reports. These transcribed medical transcription sample reports may include some uncommon or unusual formats; this would be due to the preference of the dictating physician. All names and dates have been changed (or removed) to keep confidentiality. Any resemblance of any type of name or date or place or anything else to real world is purely incidental.
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Transcribed Medical Transcription Sample Reports and Examples