Ms. Forpe is a 68-year-old female with a personal history of left breast lumpectomy in 2000 for IDC followed by radiation and right breast lumpectomy in 2011 for DCIS followed by radiation. Patient received Tamoxifen. History of breast cancer in maternal great aunt diagnosed at the age of 70 and paternal aunt diagnosed at the age of 60. No current breast complaints. Initial cancer was mammographically occult. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. Intact bilateral retropectoral silicone implants.No suspicious enhancement is seen in either breast. Stable post-surgical distortion, T2 low density and volume loss in the left breast. There is mild motion artifact, not limiting the study overall, but creating some artifacts on the kinetic analysis. No abnormal axillary lymph nodes are identified in either axillary region.Stable high T2 signal hepatic lesion compatible with a benign cyst or hemangioma.
No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram.