53-year-old with past medical history of bilateral mastectomies with breast cancer with thickening of the left flap. Postoperative changes of bilateral mastectomies. There is diffuse skin thickening on the left without abnormal enhancement. A focal region of postsurgical scarring and fat necrosis in the left axillary region measures 25 x 15 x 21 mm. On postcontrast images, no suspicious enhancement or mass is seen.No abnormal axillary lymph nodes are identified in either axillary region.Note is made of a T2 bright lesion in the right hepatic lobe which appears similar to prior CT given differences in technique.
Skin thickening of the left breast without abnormal enhancement and postsurgical changes/fat necrosis as described above. No MRI evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.