IIUMSC REFERRAL FORM ΔPatient Name Patient IC / Passport Number Centre to Refer to: Referral Message Assalamualaikum w.b.t Dear colleague, Thank you for seeing the above name lady who is a patient from LPPKN. She is a 60-years-old, female who claimed had done mammogram in 2019 at Breast Centre, was informed had multiple breast cysts. Otherwise patient is asymptomatic and has no family history of malignancy. She came for mammogram for screening. Mammogram and complementary ultrasound (on 5/9/2022) shows 1) BIRADS 4c: Suspicious left breast lesion (Lt 3H) with group of fine linear microcalcifications. Suggest for biopsy and HPE correlation. 2) Probably benign bilateral breast lesions. She came for mammogram for screening. Patient keen for follow up under your centre. Kindly see her and do the needful. Thank you. Wassalam. Referrer Name MMC Number Position Clinical Radiologist Radiology Medical OfficerSubmit Form