<!-- BaNnErBlUrFlE-BoDy-start -->
<!-- Preheader Text : BEGIN -->
<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;height:0px;max-height:0px;opacity:0;overflow:hidden;">
I just came across this. We have previously received written approval from the FDA to modify the language in the breast density statement in mammography reports and lay letters for unilateral exams as described here, but the FDA has now issued</div>
<!-- Preheader Text : END -->

<!-- Email Banner : BEGIN -->
<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;max-height:0px;opacity:0;overflow:hidden;">ZjQcmQRYFpfptBannerStart</div>

<!--[if ((ie)|(mso))]>
  <table border="0" cellspacing="0" cellpadding="0" width="100%" style="padding: 16px 0px 16px 0px; direction: ltr" lang="en"><tr><td>
    <table border="0" cellspacing="0" cellpadding="0" style="padding: 0px 10px 5px 6px; width: 100%; border-radius:4px; border-top:4px solid #8c8e91;background-color:#CFD3D7;"><tr><td valign="top">
      <table align="left" border="0" cellspacing="0" cellpadding="0" style="padding: 4px 8px 4px 8px">
        <tr><td style="color:#000000; font-family: 'Arial', sans-serif; font-weight:bold; font-size:14px; direction: ltr">
          This Message Is From an External Sender
        </td></tr>
        <tr><td style="color:#000000; font-weight:normal; font-family: 'Arial', sans-serif; font-size:12px; direction: ltr">
          This message came from outside your organization.
        </td></tr>

      </table>
      <![if ie]><br clear="all"><![endif]>
      <table align="right" border="0" cellspacing="0" cellpadding="0" style="padding: 4px 0px 4px 0px"><tr>
        <td style="direction: ltr">  <a target="_blank" href="https://us-phishalarm-ewt.proofpoint.com/EWT/v1/KGKeukY!vOQd8gZtA8YBRRdxHw5El15Me3spiW4o81WjACVyDLGs_6tO74tUn7WbdDshxWjbLzrRzCwHbk9h6ZgGrJAxq1JicmTKD6yHR5EEcoM_NnCTzrTDfTFh4s9GKW9WHW34yM8rUGfYIg1ANm8RDyo2mg304b4LMEuj$" style="mso-padding-alt: 7.5px; padding: 7.5px; border-radius: 2px; border: 1.5px solid #666666; "><strong style="font-weight: normal; color: #000000; text-decoration: none; font-family: 'Arial', sans-serif; font-size:14px; line-height: 40px; ">  Report Suspicious  </strong></a>  ‌ </td>
      </tr></table>
    </td></tr></table>
  </td></tr></table>
<![endif]-->

<![if !((ie)|(mso))]>
  <div dir="ltr" lang="en" id="pfptBanner9ceausq" style="all: revert !important; display:block !important; text-align: left !important; margin:16px 0px 16px 0px !important; padding:8px 16px 8px 16px !important; border-radius: 4px !important; min-width: 200px !important; background-color: #CFD3D7 !important; background-color: #CFD3D7; border-top: 4px solid #8c8e91 !important; border-top: 4px solid #8c8e91;">
    <div id="pfptBanner9ceausq" style="all: unset !important; float:left !important; display:block !important; margin: 0px 0px 1px 0px !important; max-width: 600px !important;">
      <div id="pfptBanner9ceausq" style="all: unset !important; display:block !important; visibility: visible !important; background-color: #CFD3D7 !important; color:#000000 !important; color:#000000; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-weight:bold !important; font-weight:bold; font-size:14px !important; line-height:18px !important; line-height:18px">
        This Message Is From an External Sender
      </div>
      <div id="pfptBanner9ceausq" style="all: unset !important; display:block !important; visibility: visible !important; background-color: #CFD3D7 !important; color:#000000 !important; color:#000000; font-weight:normal; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-size:12px !important; line-height:18px !important; line-height:18px; margin-top:2px !important;">
This message came from outside your organization.
      </div>

    </div>
    <div id="pfptBanner9ceausq" style="all: unset !important; float: right !important; display: block !important; display: block; margin: 0px 0px 0px 16px !important; text-align: right !important; width: fit-content !important;">
<a id="pfptBanner9ceausq" href="https://us-phishalarm-ewt.proofpoint.com/EWT/v1/KGKeukY!vOQd8gZtA8YBRRdxHw5El15Me3spiW4o81WjACVyDLGs_6tO74tUn7WbdDshxWjbLzrRzCwHbk9h6ZgGrJAxq1JicmTKD6yHR5EEcoM_NnCTzrTDfTFh4s9GKW9WHW34yM8rUGfYIg1ANm8RDyo2mg304b4LMEuj$"
    style="all: unset !important; display: inline-block !important; text-decoration: none">
    <div class="pfptPrimaryButton9ceausq" style="display: inline-block !important; display: inline-block; visibility: visible !important; opacity: 1 !important; color: #000000 !important; color: #000000; font-family: 'Arial', sans-serif !important; font-family: 'Arial', sans-serif; font-size: 14px !important; font-weight: normal !important; text-decoration: none !important; border-radius: 2px !important; padding: 7.5px 16px !important; margin: 3px 0 3px 16px !important; white-space: nowrap !important; width: fit-content !important;
        border: 1px solid #666666">
        Report Suspicious
    </div>
</a>
    </div>
    <div style="clear: both !important; display: block !important; visibility: hidden !important; line-height: 0 !important; font-size: 0.01px !important; height: 0px"> </div>
  </div>
<![endif]>

<div style="display:none !important;display:none;visibility:hidden;mso-hide:all;font-size:1px;color:#ffffff;line-height:1px;max-height:0px;opacity:0;overflow:hidden;">ZjQcmQRYFpfptBannerEnd</div>
<!-- Email Banner : END -->

<!-- BaNnErBlUrFlE-BoDy-end -->
<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head><!-- BaNnErBlUrFlE-HeAdEr-start -->
<style>
  #pfptBanner9ceausq { all: revert !important; display: block !important; 
    visibility: visible !important; opacity: 1 !important; 
    background-color: #CFD3D7 !important; 
    max-width: none !important; max-height: none !important }
  .pfptPrimaryButton9ceausq:hover, .pfptPrimaryButton9ceausq:focus {
    background-color: #adb0b4 !important; }
  .pfptPrimaryButton9ceausq:active {
    background-color: #8c8e91 !important; }
  html:root, html:root>body { all: revert !important; display: block !important;
    visibility: visible !important; opacity: 1 !important; }
</style>

<!-- BaNnErBlUrFlE-HeAdEr-end -->

<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<style><!--
/* Font Definitions */
@font-face
        {font-family:"Cambria Math";
        panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
        {font-family:Calibri;
        panose-1:2 15 5 2 2 2 4 3 2 4;}
@font-face
        {font-family:Aptos;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
        {margin:0in;
        font-size:12.0pt;
        font-family:"Aptos",sans-serif;
        mso-ligatures:standardcontextual;}
a:link, span.MsoHyperlink
        {mso-style-priority:99;
        color:#467886;
        text-decoration:underline;}
span.EmailStyle17
        {mso-style-type:personal-compose;
        font-family:"Aptos",sans-serif;
        color:windowtext;}
.MsoChpDefault
        {mso-style-type:export-only;}
@page WordSection1
        {size:8.5in 11.0in;
        margin:1.0in 1.0in 1.0in 1.0in;}
div.WordSection1
        {page:WordSection1;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#467886" vlink="#96607D" style="word-wrap:break-word">
<div class="WordSection1">
<p class="MsoNormal">I just came across this.  We have previously received written approval from the FDA to modify the language in the breast density statement in mammography reports and lay letters for unilateral exams as described here, but the FDA has now
 issued an alternative standard to that effect, effective 7/11/2025.<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><a href="https://urldefense.com/v3/__https://www.fda.gov/radiation-emitting-products/regulations-mqsa/mqsa-alternative-standard-26-issuing-report-breast-density-assessment-phrased-singular-or-neither__;!!KGKeukY!wBoHFeeMWwXrd70u-8JEmdXI60Xv-cl4QzuRXRnhJsKWTMJyJBLKZbTjo3VDmH7ZheiOlwWqTBvnTYI-i3wWbuAlqbhgiRmJyht8I_9VhUHg3gI$">MQSA Alternative Standard #26: Issuing a Report with a Breast Density
 Assessment that is Phrased in the Singular, or is Neither Singular Nor Plural | FDA</a><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Mary Ellen Jafari, MS, DABR (D,N), MRSE, MRSO, FACR, FAAPM, CIIP<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Chief Physicist and Regional Radiation Safety Officer<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Kaiser Permanente<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Southern California Permanente Medical Group Medical Imaging Technology and Informatics<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">199 S. Los Robles Ave., Pasadena CA 91101<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">626-430-1231 (office mobile)<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><a href="mailto:Maryellen.Jafari@kp.org"><span style="color:#467886">Maryellen.Jafari@kp.org</span></a><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
<p class="MsoNormal"><b><span style="font-size:8.0pt;line-height:107%;font-family:
"Arial",sans-serif;color:blue">NOTICE TO RECIPIENT:</span></b><span style="font-size:8.0pt;line-height:107%;font-family:"Arial",sans-serif;
color:black"><span style="mso-spacerun:yes"> 
</span>If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents.<span style="mso-spacerun:yes"> 
</span>If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. v.173.295<span style="mso-spacerun:yes"> 
</span>Thank you.</span></p>
</body>
</html>