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What is BI-RADS 2?

Published in Mammogram Findings 2 mins read

BI-RADS 2 indicates a mammogram result that is consistent with benign findings. This means that the radiologist has identified certain features on the imaging that are non-cancerous and require no further action other than routine screening.

Understanding BI-RADS Categories

The Breast Imaging Reporting and Data System (BI-RADS) is a standardized way for radiologists to categorize mammogram findings. This system helps communicate the level of suspicion for cancer, ensuring consistent patient management.

BI-RADS 2: Benign Findings

A BI-RADS 2 classification means there are specific findings present, but these are definitively benign and pose no risk of cancer. These findings are well-understood and predictable, and they do not require any further investigation or treatment unless other symptoms arise.


Common Benign Findings in BI-RADS 2

The following findings are commonly associated with a BI-RADS 2 assessment:

  • Secretory Calcifications: These are typically small, round, and uniform, often appearing in clusters.
  • Simple Cysts: These are fluid-filled sacs that are smooth, with well-defined borders.
  • Fat-Containing Lesions: Such as lipomas or hamartomas, which contain fat tissue and appear dark on mammograms.
  • Calcified Fibroadenomas: These are benign solid masses with calcium deposits.
  • Implants: Breast implants are routinely seen on mammograms.
  • Intramammary Lymph Nodes: These are normal lymph nodes found within the breast tissue.

Key Takeaways

  • No Cancer Risk: A BI-RADS 2 result confirms that there is no indication of cancer.
  • Routine Screening: Patients with a BI-RADS 2 assessment can continue with regular screening mammograms as recommended by their physician.
  • No Further Action Required Generally, no further action is required, unless other symptoms are present.


Comparison with BI-RADS 3

It's important not to confuse BI-RADS 2 with BI-RADS 3.

  • BI-RADS 3: is considered probably benign and requires a shortened follow-up to observe the stability of the findings.
  • BI-RADS 2: indicates completely benign findings.
Category Description Follow-Up
BI-RADS 2 Benign findings Routine screening
BI-RADS 3 Probably benign Short-interval follow-up


This table helps to illustrate the key difference between BI-RADS 2 and BI-RADS 3.