Fig. 7

Female patient 38 years old with right breast peri-canalcuilar fibro-adenoma. A Digital mammogram (cranio-caudal view), that displayed dense breasts (ACR c) and no obvious masses could be detected. B Breast ultrasound showed, right breast upper outer quadrant; irregular heterogeneous purely solid mass in plane with the breast tissue. So mammogram was assigned BI-RADS zero and ultrasound was given BI-RADS 4, and biopsy was requested. C AI scanned mammogram image showed no localized abnormality by the colour hue and the abnormality scoring for both breasts was less than 10%. The low scoring by the AI supported the benign suggestion of the right breast mass yet, the absence of color hue by the AI and the high breast density (the mass couldn’t be visualized by the reader on the mammogram) would have given the breast a wrong BI-RADS score of 1 and consequently an improper management and recommendation