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Although BI-RADS 1 and BI-RADS 2 both denote an essentially zero chance of malignancy, BI-RADS 1 is used in situations where the breast is completely unremarkable, and BI-RADS 2 is used when the radiologist wants to remark on a benign finding.

This means, BI-RADS category 4 lesions are associated with a highly variable rate of breast cancer, and with a high rate of benign (61.2%) (2), which might result in a high rate of unnecessary biopsy.

The BI-RADS score is an acronym for the Breast Imaging Reporting and Database System score. It's a scoring system radiologists use to describe mammogram results. A mammogram is an X-ray imaging test that examines breast health. It's the most efficient tool to help detect breast cancer, especially at its earliest stage.

A BI-RADS score of 2 also shows that your mammogram results are normal. There are no indications of cancer, but the doctor may notice some benign cysts or masses to include in your report. Routine visits are suggested with this score.

What do the BI-RADS categories mean? CategoryDefinition2Benign (non-cancerous) finding3Probably benign finding – Follow-up in a short time frame is suggested4Suspicious abnormality – Biopsy should be considered5Highly suggestive of malignancy – Appropriate action should be taken3 more rows • Jan 14, 2022

A BI-RADS category 2 at the end of your report means that the mammogram, breast ultrasound and/or MRI breast show benign findings, not suspicious findings for cancer.

Although BI-RADS 1 and BI-RADS 2 both denote an essentially zero chance of malignancy, BI-RADS 1 is used in situations where the breast is completely unremarkable, and BI-RADS 2 is used when the radiologist wants to remark on a benign finding.